Individual
AMANDA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
625 N GILBERT RD STE 204, GILBERT, AZ 85234-4724
(480) 477-3203
Mailing address
625 N GILBERT RD STE 204, GILBERT, AZ 85234-4724
(480) 477-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC23374
AZ
Other
Enumeration date
03/26/2018
Last updated
09/19/2024
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