Individual
AMANDA KAY BURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
401 S GREEN ST, GLASGOW, KY 42141-2555
(770) 746-4357
(270) 213-7026
Mailing address
PO BOX 625, GLASGOW, KY 42142-0625
(702) 746-4357
(270) 213-7026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
267079
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100671150
—
KY
Enumeration date
11/23/2020
Last updated
01/12/2021
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