Individual
AMANDA BALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1507 DAUPHIN ST, MOBILE, AL 36604-1708
(251) 471-5844
Mailing address
1290 MAIN ST, SUITE B, DAPHNE, AL 36526-8623
(251) 471-5844
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L446
AL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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