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Amanda Bumgarner
Counselor in Lake Mary, Florida
NPI 1205425428

Amanda Bumgarner is a Counselor based in Lake Mary, FL. Amanda Bumgarner practices in Lake Mary, FL. The NPI Number for Amanda Bumgarner is 1205425428 and holds a License No. (Florida).

The current practice location address for Amanda Bumgarner is 3415 W Lake Mary Blvd # 950103, Lake Mary, FL and can be reached out via phone at 407-602-4194.

Location: 3415 W Lake Mary Blvd # 950103, Lake Mary, FL, 32795-0103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205425428
Provider Name
Amanda Bumgarner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3415 W Lake Mary Blvd # 950103, Lake Mary, FL, 32795-0103
Phone Number
407-602-4194
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3415 W Lake Mary Blvd # 950103
City
Lake Mary
State
Florida
Zip
32746-3411
Phone Number
407-602-4194
Fax Number
person
Provider Business Mailing Address Details
Address
3415 W Lake Mary Blvd # 950103
City
Lake Mary
State
Florida
Zip
32746-3411
Phone Number
407-602-4194
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19847 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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