Individual
AMANDA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(770) 812-8347
Mailing address
523 DIXIE ST, CARROLLTON, GA 30117-3870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7484
GA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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