Individual
MRS. AMANDA MCNURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Mailing address
PO BOX 256, SWAINSBORO, GA 30401-0256
(478) 419-1266
(478) 419-1267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2793
MS
101YP2500X
Professional Counselor
APC001506
GA
101YP2500X
Professional Counselor
LPC005541
GA
Other
Enumeration date
03/07/2007
Last updated
05/04/2022
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