Individual
AMANDA ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1907 MAGNOLIA LN, BLANCHARD, OK 73010-7806
(405) 323-4916
Mailing address
1907 MAGNOLIA LN, BLANCHARD, OK 73010-7806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6492
OK
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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