Individual
AMANDA LEE RABOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(417) 291-3295
Mailing address
4653 E MAIN ST, COLUMBUS, OH 43213-3298
(417) 291-3295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
C.2305273
OH
101YP2500X
Professional Counselor
Primary
E.2606398
OH
Other
Enumeration date
11/19/2021
Last updated
02/06/2026
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