Provider Demographics
NPI:1962880922
Name:CLAUSEN, AMANDA (MA, LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 557
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80038-0557
Mailing Address - Country:US
Mailing Address - Phone:970-302-4970
Mailing Address - Fax:720-302-2334
Practice Address - Street 1:80 GARDEN CTR STE 131
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2622
Practice Address - Country:US
Practice Address - Phone:970-302-4970
Practice Address - Fax:720-302-2334
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health