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Individual

AMANDA JORDAN CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
30C FOX CHASE, CARTERSVILLE, GA 30120-2491
(678) 721-2249
(678) 721-2424
Mailing address
2618 MARLEIGH FARM RD NW, KENNESAW, GA 30152-6520
(404) 895-9699
(678) 721-2424

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005368
GA

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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