Individual
AMANDA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PLPC
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
161 COGGINS RD, FARMERVILLE, LA 71241-5047
(318) 368-7206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6550
LA
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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