Individual
MS. AMANDA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2111 DICKSON DR STE 33, AUSTIN, TX 78704-4788
(512) 846-9860
Mailing address
9901 BRODIE LN STE 160-878, AUSTIN, TX 78748-5803
(512) 971-8830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
76751
TX
101YP2500X
Professional Counselor
Primary
76751
TX
Other
Enumeration date
12/17/2018
Last updated
02/15/2020
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