Individual
AMANDA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
890 SIERRA DR, PORT NECHES, TX 77651-5607
(409) 499-1261
Mailing address
7760 SOUTH DR, BEAUMONT, TX 77705-9049
(409) 499-1261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
34190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34190
LCSW 34190
TX
Enumeration date
09/20/2021
Last updated
09/20/2021
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