Individual
AMANDA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8780 BIG BEND BLVD. SUITE B, ST. LOUIS, MO 63119
(314) 472-8180
Mailing address
320 W GLENDALE RD, SAINT LOUIS, MO 63119-4057
(314) 482-3450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020009530
MO
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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