Individual
AMANDA INES MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
12720 HILLCREST RD STE 106, DALLAS, TX 75230-7121
(469) 206-9285
Mailing address
12810 HILLCREST RD # B123, DALLAS, TX 75230-1525
(469) 206-9285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80478
TX
Other
Enumeration date
01/11/2022
Last updated
10/12/2022
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