Individual
AMANDA DAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 ENTERPRISE DR, LYNCHBURG, VA 24502-5797
(434) 376-2006
Mailing address
1621 ENTERPRISE DR, LYNCHBURG, VA 24502-5797
(434) 376-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015379
VA
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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