Individual
AMANDA LEA CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, NCC, LPC, RPT
Contact information
Practice address
232 VANCE RD STE 205, VALLEY PARK, MO 63088-1575
(314) 805-4794
Mailing address
232 VANCE RD STE 205, VALLEY PARK, MO 63088-1575
(314) 805-4794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011027175
MO
Other
Enumeration date
02/27/2020
Last updated
10/18/2023
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