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Individual

DR. AMANI AMANDA MUNGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1830 WATER PL SE STE 215, ATLANTA, GA 30339-7407
(470) 326-6469
(678) 853-2466
Mailing address
1830 WATER PL SE STE 215, ATLANTA, GA 30339-7407
(470) 326-6469
(678) 853-2466

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
004810
GA
101YP2500X
Professional Counselor
Primary
LPC004810
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004810
GEORGIA LICENSURE BOARD
GA
05
LPC004810
GA
Enumeration date
04/24/2008
Last updated
02/03/2022
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