Individual
MRS. AMANDA LYNN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7200 DESIARD ST, MONROE, LA 71203-3913
(318) 345-8200
(318) 342-8049
Mailing address
7200 DESIARD ST, MONROE, LA 71203-3913
(318) 345-8200
(318) 342-8049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 1003
LA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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