Provider Demographics
NPI:1194196188
Name:KESSLER, AMANDA (MA, MBA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MA, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 LAKE BRIDGE LN
Mailing Address - Street 2:1512
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-3416
Mailing Address - Country:US
Mailing Address - Phone:304-437-5012
Mailing Address - Fax:
Practice Address - Street 1:504 LAKE BRIDGE LN
Practice Address - Street 2:1512
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-3416
Practice Address - Country:US
Practice Address - Phone:304-437-5012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health