Individual
AMANDA L LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 LELIA DR STE 220, JACKSON, MS 39216-4832
(601) 879-4207
Mailing address
1640 LELIA DR STE 220, JACKSON, MS 39216-4832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-1000
MS
Other
Enumeration date
02/13/2023
Last updated
09/27/2024
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