Individual
AMANDA KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
3625 MANCHACA RD STE 303, AUSTIN, TX 78704-5912
(512) 789-9505
Mailing address
207 MEADOW LEA DR, AUSTIN, TX 78745-6453
(512) 789-9505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67353
TX
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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