Individual
AMANDA C NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE, M.A.
Contact information
Practice address
1102 CUSTER PASS ST, SAN ANTONIO, TX 78232-3421
(210) 307-9564
Mailing address
1102 CUSTER PASS ST, SAN ANTONIO, TX 78232-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95619
TX
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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