Individual
AMANDA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
43 KNIGHT BOXX RD, STE 1, ORANGE PARK, FL 32065-7395
(904) 379-8675
(904) 423-0490
Mailing address
43 KNIGHT BOXX RD, STE 1, ORANGE PARK, FL 32065-7395
(904) 379-8675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12220
FL
Other
Enumeration date
12/17/2013
Last updated
12/07/2016
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