Individual
MRS. AMANDA D. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 S. COMMERCE AVE, RUSSELLVILLE, AR 72801-5939
(479) 970-8873
Mailing address
110 S. COMMERCE AVE, RUSSELLVILLE, AR 72801-5939
(479) 970-8873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022043385
MO
101YP2500X
Professional Counselor
P1411093
AR
Other
Enumeration date
06/04/2014
Last updated
06/13/2023
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