Individual
AMANDA FAYE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11675 CENTURY DR STE B&C, ALPHARETTA, GA 30009-8366
(678) 740-3990
Mailing address
2715 CARLTON PL NE, BROOKHAVEN, GA 30319-3623
(229) 563-4381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010909
GA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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