Individual
MRS. AMANDA L AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1455 GLADDEN CIR, FOREST, VA 24551-3562
(434) 610-3643
Mailing address
1455 GLADDEN CIR, FOREST, VA 24551-3562
(434) 610-3643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011441
VA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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