Individual
AMANDA R WALLINGSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT-S
Contact information
Practice address
3811 BEE CAVES RD STE 204, WEST LAKE HILLS, TX 78746-6459
(512) 962-1572
Mailing address
6001 W PARMER LN STE 370, AUSTIN, TX 78727-3908
(512) 962-1572
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202207
TX
106H00000X
Marriage & Family Therapist
60475
CA
Other
Enumeration date
04/07/2009
Last updated
12/10/2020
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