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Individual

AMANDA BEEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
101 W MAIN ST, TRINITY, TX 75862-7628
(936) 642-0061
Mailing address
1305 11TH ST, HUNTSVILLE, TX 77340-3811
(936) 662-3803

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
76651
TX
101YM0800X
Mental Health Counselor
Primary
76651
TX

Other

Enumeration date
12/16/2019
Last updated
12/04/2021
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