Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1736 S PARK CT STE 201, CHESAPEAKE, VA 23320-8922
(757) 296-0800
Mailing address
1736 S PARK CT STE 201, CHESAPEAKE, VA 23320-8922
(757) 296-0800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002524A
IN
101YP2500X
Professional Counselor
Primary
0701006508
VA
Other
Enumeration date
03/21/2016
Last updated
09/21/2022
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