Individual
AMANDA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, CRC
Contact information
Practice address
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043-8196
(404) 507-6337
Mailing address
PO BOX 1337, GRAYSON, GA 30017-0025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010616
GA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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