Individual
AMANDA WHICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
240B COURTHOUSE RD, GULFPORT, MS 39507-1214
(228) 567-4612
Mailing address
240B COURTHOUSE RD, GULFPORT, MS 39507-1214
(228) 567-4612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3280
MS
101Y00000X
Counselor
5462
TN
101YM0800X
Mental Health Counselor
Primary
3280
MS
101YM0800X
Mental Health Counselor
5462
TN
Other
Enumeration date
06/07/2019
Last updated
07/24/2025
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