Provider Demographics
NPI:1831086586
Name:DIMMER, AMANDA (LAPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DIMMER
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:WOLF/WESTLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW, LBSW
Mailing Address - Street 1:2701 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-8753
Mailing Address - Country:US
Mailing Address - Phone:701-451-4900
Mailing Address - Fax:651-925-0057
Practice Address - Street 1:2701 12TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-8753
Practice Address - Country:US
Practice Address - Phone:701-451-4900
Practice Address - Fax:651-925-0057
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1448-6-1-25A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health