Individual
AMANDA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
727 VIRGINIA AVENUE, MILLEN, GA 30442
(478) 982-2137
(478) 982-2595
Mailing address
P O BOX 1259, 223 N. ANDERSON DRIVE, SWAINSBORO, GA 30401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003787
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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