Individual
MS. AMANDA HARMON BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSOTP
Contact information
Practice address
5427 PETERS CREEK RD, SUITE 300, ROANOKE, VA 24019-3858
(540) 523-8080
(540) 562-8867
Mailing address
3485 HALES FORD RD, MONETA, VA 24121-5473
(540) 400-9359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006157
VA
Other
Enumeration date
07/17/2015
Last updated
12/12/2016
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