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Individual

AMANDA BROOKE CARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
502 N CARROLL AVE STE 120, SOUTHLAKE, TX 76092-6449
(682) 292-7012
Mailing address
721 BASSET LOCKE DR, FORT WORTH, TX 76108-4541
(903) 480-1323

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85967
TX

Other

Enumeration date
03/20/2023
Last updated
08/28/2024
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