Individual
AMY FATHEREE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
59337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183462401
—
TX
01
—
7494LC
BCBS
TX
01
—
9469128
PHCS
TX
01
—
9603074
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
02/27/2007
Last updated
10/09/2012
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