Individual
AMANDA NICOLE KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5104 PEGASUS CT STE B, FREDERICK, MD 21704-8323
(443) 776-0271
Mailing address
5180 WOODHIRST CT, FREDERICK, MD 21703-6964
(410) 804-1294
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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