Individual
MRS. AMANDA LYNN STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
508 HAMPTON ST STE 203, COLUMBIA, SC 29201-2765
(803) 353-1681
Mailing address
508 HAMPTON ST STE 203, COLUMBIA, SC 29201-2765
(803) 353-1681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4619
SC
106H00000X
Marriage & Family Therapist
47194
CA
Other
Enumeration date
11/07/2006
Last updated
08/28/2024
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