Individual
MS. AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SIMONE WAY, SAINT AUGUSTINE, FL 32086-7750
(904) 829-1770
(904) 825-0604
Mailing address
201 SIMONE WAY, SAINT AUGUSTINE, FL 32086-7750
(904) 829-1770
(904) 825-0604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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