Individual
AMANDA SKONETSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5555 N LAMAR BLVD STE E121, AUSTIN, TX 78751-1074
(512) 698-2633
Mailing address
1509 W NORTH LOOP BLVD, AUSTIN, TX 78756-2004
(512) 698-2633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67582
TX
Other
Enumeration date
08/29/2011
Last updated
10/05/2012
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