Individual
AMANDA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 BERTRAND DR, BUITE B2, LAFAYETTE, LA 70506-9107
(337) 319-1315
Mailing address
1304 BERTRAND DR, BUITE B2, LAFAYETTE, LA 70506-9107
(337) 319-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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