Individual
AMANDA C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 W RIVERSIDE DR, AUSTIN, TX 78704-1247
(512) 804-3000
(512) 323-9544
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 447-4141
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198427001
—
TX
Enumeration date
01/14/2009
Last updated
01/18/2012
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