Individual
AMANDA STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 EMERALD CIR, BRANDON, MS 39047-6392
(601) 824-0334
Mailing address
212 EMERALD CIR, BRANDON, MS 39047-6392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2964
MS
Other
Enumeration date
03/16/2021
Last updated
06/14/2023
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