Individual
AMANDA LEIGH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3012 SW 26TH AVE STE 200, AMARILLO, TX 79109-3161
(806) 570-4124
Mailing address
7504 TOPEKA DR, AMARILLO, TX 79118-1133
(806) 570-4124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10689427
TEXAS DRIVERS LICENSE
TX
Enumeration date
01/12/2012
Last updated
07/08/2022
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