AMANDA LEANN NORTHCUTT
NPI 1679073613
Counselor in Wagoner, OK

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since February 16, 2018

109 S HARRILL AVE, WAGONER, OK 74467(918) 485-0242(918) 485-0204 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda Leann Northcutt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA LEANN NORTHCUTT (NPI 1679073613) is an individual counselor in Wagoner, Oklahoma and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1679073613

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMANDA LEANN NORTHCUTT

Location Address109 S HARRILL AVEWagoner, OK 74467-5317

Mailing Address109 S Harrill AveWagoner, OK 74467-5317 · (918) 485-0242 · Fax (918) 485-0204

Phone(918) 485-0242

Fax(918) 485-0204

Sole ProprietorYes

Enumeration DateFebruary 16, 2018

✔ NPI 1679073613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

109 S HARRILL AVE, Wagoner, OK 74467

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