Individual
AMANDA MAXEY KOUMALATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, LPC
Contact information
Practice address
3014 SW 26TH AVE STE 4000, AMARILLO, TX 79109-3175
(682) 478-6365
Mailing address
3014 SW 26TH AVE STE 4000, AMARILLO, TX 79109-3175
(682) 478-6365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77149
TX
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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