Individual
MRS. AMANDA BOOTH BICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
219 E SAN ANTONIO ST, NEW BRAUNFELS, TX 78130-4547
(714) 604-6503
Mailing address
219 E SAN ANTONIO ST, NEW BRAUNFELS, TX 78130-4547
(714) 604-6503
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314756302
—
TX
Enumeration date
05/01/2013
Last updated
04/20/2015
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