Individual
AMANDA J WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6810 TEAGLE LN, GLOUCESTER, VA 23061-5386
(804) 210-1104
Mailing address
54 CREEK DR, HARDYVILLE, VA 23070-2130
(757) 880-4143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006466
VA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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