Individual
AMANDA YOLANDA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3712 WICHITA ST, FORT WORTH, TX 76119-2866
(817) 886-7124
Mailing address
3712 WICHITA ST, FORT WORTH, TX 76119-2866
(817) 886-7124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80576
TX
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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