Individual
DR. AMANDA LA GUARDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPCC-S, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67303
TX
101YP2500X
Professional Counselor
E.1600038-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E.1600038-SUPV
CSWMFT
OH
Enumeration date
03/19/2015
Last updated
12/23/2020
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