Individual
AMANDA G PRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 NORTH ST STE 206, NACOGDOCHES, TX 75961-5018
(936) 244-5681
Mailing address
320 NORTH ST STE 206, NACOGDOCHES, TX 75961-5018
(936) 244-5681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012014720
MO
101Y00000X
Counselor
76198
TX
Other
Enumeration date
06/25/2012
Last updated
07/10/2023
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