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Individual

AMANDA P VIEREGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
900 AUSTIN AVE, STE. 1001, WACO, TX 76701-1902
(254) 752-1183
Mailing address
900 AUSTIN AVE, STE. 1001, WACO, TX 76701-1902
(254) 752-1183
(254) 756-5092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14875
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82405L
BCBS ID NUMBER
TX
Enumeration date
01/02/2007
Last updated
07/09/2007
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