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Individual

AMANDA LEA GREATHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
111 SE 22ND ST, BENTONVILLE, AR 72712-7188
(479) 268-3280
Mailing address
280 NW RED BARN CIR APT 208, BENTONVILLE, AR 72712-2499
(763) 670-9523

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2310006
AR

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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