Individual
MRS. AMANDA ELAINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4605 MONTICELLO RD STE 3, COLUMBIA, SC 29203-4156
(803) 754-0151
(803) 691-1778
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A15937
NC
101YP2500X
Professional Counselor
Primary
9975
SC
Other
Enumeration date
11/02/2020
Last updated
08/07/2024
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