Individual
AMY LYNN ANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5431 MONTGOMERY RD, MIDLOTHIAN, TX 76065-4836
(972) 775-8966
Mailing address
2691 NELSON WYATT RD, MANSFIELD, TX 76063-6060
(817) 718-2477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70144
TX
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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