Individual
AMANDA GAIL CONERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSCE, LPC, NCC
Contact information
Practice address
907 CARTER AVE STE 3, PHILADELPHIA, MS 39350-3645
(601) 663-2288
(601) 429-9281
Mailing address
PO BOX 1111, PHILADELPHIA, MS 39350-1111
(601) 650-8150
(601) 429-9281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
04/07/2022
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