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Individual

AMANDA KEATOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, LCDC

Contact information

Practice address
138 OLD SAN ANTONIO RD STE 503, BOERNE, TX 78006-3492
(806) 535-6639
Mailing address
138 OLD SAN ANTONIO RD STE 503, BOERNE, TX 78006-3492
(806) 535-6639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74514
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08551341
INSURANCE REIMBURSEMENT
TX
Enumeration date
01/14/2022
Last updated
01/14/2022
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