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Individual

MRS. AMANDA F COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAMFC, MACE

Contact information

Practice address
1014 N JACKSON ST STE F, STARKVILLE, MS 39759-2211
(662) 497-2049
(662) 244-2575
Mailing address
288 STEELE RD, STARKVILLE, MS 39759-4714
(662) 617-3733

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
1406
MS

Other

Enumeration date
05/23/2007
Last updated
11/06/2021
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