Amanda Gail Walden LPC

NPI 1710122700 - Counselor - 101YP2500X

NPI Details
NPI 1710122700
Gender Female
Enumeration Date 12/05/2008
Last Updated 12/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1458 CRONAN RD
COVINGTON GA, 30016-8955, US
Phone (770) 361-1288
Fax
Business Location
1458 CRONAN RD
COVINGTON GA, 30016-8955, US
Phone (770) 361-1288
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC005430
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According to our database, Miss Amanda Gail Walden LPC NPI is 1710122700, taxonomy code is 101YP2500X and license number is LPC005430, license state is located at Georgia. Amanda Gail Walden LPC physically located at 1458 Cronan Rd, Covington GA, 30016-8955. NPI Number Amanda Gail Walden LPC has the Individual type.

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1710122700 NPI number is provided on an as is basis without warranty of any kind. 1710122700 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Gail Walden LPC are for informational purposes only.