Individual
AMANDA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC- S
Contact information
Practice address
115 N UNIVERSITY DR STE A, NACOGDOCHES, TX 75961-5126
(936) 371-1172
(866) 598-3817
Mailing address
115 N UNIVERSITY DR STE A, NACOGDOCHES, TX 75961-5126
(936) 371-1172
(866) 598-3817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61122
TX
Other
Enumeration date
01/26/2015
Last updated
07/27/2023
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