Individual
AMANDA BETH GROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61748
TX
Other
Enumeration date
06/13/2007
Last updated
09/11/2013
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