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Individual

AMANDA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ALC, MFT-A, NCC

Contact information

Practice address
2013 KENTUCKY AVE, VESTAVIA HILLS, AL 35216-1952
(205) 440-1992
Mailing address
2013 KENTUCKY AVE, VESTAVIA HILLS, AL 35216-1952
(205) 440-1992

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
ALC04738
AL
101YP2500X
Professional Counselor
Primary
MFTA374
AL
106H00000X
Marriage & Family Therapist
Primary
A374
AL
106H00000X
Marriage & Family Therapist
Primary
I-126
AL

Other

Enumeration date
06/14/2024
Last updated
03/05/2026
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