Individual
AMANDA RAE DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC, CRC, NCC
Contact information
Practice address
7711 BONHOMME AVE STE 850, SAINT LOUIS, MO 63105-1964
(314) 452-7705
Mailing address
7711 BONHOMME AVE STE 850, SAINT LOUIS, MO 63105-1964
(314) 452-7705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MO
225C00000X
Rehabilitation Counselor
—
MO
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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