Individual
AMANDA GRACE HALLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP (TEMP)
Contact information
Practice address
9025 OVERLOOK BLVD STE 200, BRENTWOOD, TN 37027-2710
(615) 538-7317
Mailing address
9025 OVERLOOK BLVD STE 200, BRENTWOOD, TN 37027-2710
(615) 538-7317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3992
TN
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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