Organization
AMANDA IBANEZ COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GAYLE IBANEZ LCSW (OWNER/THERAPIST)
(254) 722-6958
Entity
Organization
Contact information
Practice address
605 AUSTIN AVE STE 4-105, WACO, TX 76701-2050
(254) 718-6013
Mailing address
605 AUSTIN AVE STE 4-105, WACO, TX 76701-2050
(254) 718-6013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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