Individual
AMANDA A EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 7TH AVE, FORT WORTH, TX 76104-2722
(682) 885-3587
(682) 885-7572
Mailing address
7 WINDY KNOLL CT, GRAPEVINE, TX 76051-3843
(469) 223-2748
(682) 885-3936
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61898
TX
Other
Enumeration date
10/14/2011
Last updated
02/11/2016
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