Individual
AMANDA BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S CYPRESS ST, HAMMOND, LA 70403-4234
(985) 200-1006
Mailing address
72592 HIGHWAY 1054, KENTWOOD, LA 70444-7702
(985) 974-8507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10328
LA
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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