Individual
AMANDA KNAPP MELKOWITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC007763
GA STATE LICENSE
GA
Enumeration date
06/28/2012
Last updated
03/16/2017
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