Individual
AMANDA T YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4920 N IH 35 STE 110, AUSTIN, TX 78751-2725
(512) 854-1800
(512) 854-1920
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75747
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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