Individual
AMANDA KATE PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5825 RODERICK DR, AUSTIN, TX 78724-4428
(512) 534-7523
Mailing address
5825 RODERICK DR, AUSTIN, TX 78724-4428
(512) 534-7523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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