Individual
AMANDA SIEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5924 LAKESIDE DR, FORT WORTH, TX 76179-6612
(817) 668-0513
Mailing address
5924 LAKESIDE DR, FORT WORTH, TX 76179-6612
(817) 668-0513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72617
TX
Other
Enumeration date
03/29/2019
Last updated
03/28/2022
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