Individual
AMANDA LYNN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7 E KANSAS ST STE C, LIBERTY, MO 64068-2312
(816) 592-3848
Mailing address
PO BOX 1094, KEARNEY, MO 64060-1094
(816) 872-4623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.011694
IL
101YP2500X
Professional Counselor
Primary
2020010639
MO
101YP2500X
Professional Counselor
6401016992
MI
Other
Enumeration date
02/25/2019
Last updated
12/03/2024
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