Individual
AMANDA WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5565 MONTGOMERY HWY, DOTHAN, AL 36303-1552
(334) 790-2489
Mailing address
300 CORONADA ST, ENTERPRISE, AL 36330-4506
(850) 274-9082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05182
AL
101YM0800X
Mental Health Counselor
APC009343
GA
Other
Enumeration date
11/15/2023
Last updated
02/14/2025
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