Individual
AMANDA A STORVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
726 CRUZ AVE, HURLBURT FIELD, FL 32544-6000
(540) 446-1216
Mailing address
726 CRUZ AVE, HURLBURT FIELD, FL 32544-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701008341
VA
101YP2500X
Professional Counselor
Primary
0701008341
VA
Other
Enumeration date
05/22/2019
Last updated
04/08/2024
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