Individual
MS. AMANDA INEZ ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Mailing address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65509
LICENSE
TX
Enumeration date
05/10/2011
Last updated
05/10/2011
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