Individual
AMANDA J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3301 S PROVIDENCE RD, BLDG E, COLUMBIA, MO 65203-0000
(573) 882-2511
(573) 884-4515
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008018984
MO
Other
Enumeration date
11/19/2008
Last updated
05/28/2013
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