Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Waller, LPC

Individual provider Professional Counselor · NPI 1710590146

Amanda Waller, LPC is a Professional Counselor in Eatontown, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

154 Waypoint Dr
Eatontown, NJ 07724-2184
Phone: (908) 310-7788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC00637200 (NJ)

Record details

NPI number1710590146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

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