Individual
AMANDA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 W MADISON ST, SPRINGFIELD, MO 65806-2926
(812) 870-3885
Mailing address
500 W MADISON ST, SPRINGFIELD, MO 65806-2926
(812) 870-3885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2016008344
MO
Other
Enumeration date
03/22/2018
Last updated
05/11/2021
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