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Individual

AMANDA BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
150 SOUTHPARK BLVD STE 208, ST AUGUSTINE, FL 32086-5179
(904) 675-0739
Mailing address
15 FRANCISCAN WAY, ST AUGUSTINE, FL 32080-5307
(623) 760-6879

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH22525
FL
101YM0800X
Mental Health Counselor
Primary
MH26825
FL

Other

Enumeration date
09/14/2022
Last updated
11/11/2025
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