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Amanda Holloway
Professional Counselor in Riverdale, Georgia
NPI 1114385598

Amanda Holloway is a Professional Counselor based in Riverdale, GA and is specialized in Professional. Amanda Holloway practices in Riverdale, GA. The NPI Number for Amanda Holloway is 1114385598 and holds a License No. LPC008361 (Georgia).

The current practice location address for Amanda Holloway is 150 Medical Way, Riverdale, GA and can be reached out via phone at 404-709-8373.

Location: 150 Medical Way, Riverdale, GA, 30274-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114385598
Provider Name
Amanda Holloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Medical Way, Riverdale, GA, 30274-2533
Phone Number
404-709-8373
Fax Number
Provider Enumeration Date
02/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13678783 01 GA CAQH
institution
Provider Business Practice Location Address Details
Address
150 Medical Way
City
Riverdale
State
Georgia
Zip
30274-2533
Phone Number
404-709-8373
Fax Number
person
Provider Business Mailing Address Details
Address
150 Medical Way
City
Riverdale
State
Georgia
Zip
30274-2533
Phone Number
404-709-8373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC008361 (Georgia)
Definition
Definition to come...
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