Individual
MISS AMANDA MARIE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3707 E SOUTHERN AVE STE 2022, MESA, AZ 85206-6214
(623) 522-7005
Mailing address
3707 E SOUTHERN AVE STE 2022, MESA, AZ 85206-6214
(623) 522-7005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
12/19/2024
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