Provider Demographics
NPI:1023813417
Name:TRUE, AMANDA E (LMFTA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:TRUE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:E
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21504 265TH PL SE
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-6627
Mailing Address - Country:US
Mailing Address - Phone:206-724-4175
Mailing Address - Fax:
Practice Address - Street 1:4122 FACTORIA BLVD SE STE 405
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-5259
Practice Address - Country:US
Practice Address - Phone:425-590-9419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61610187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist