person
Amanda Cowart Derham, LCSW
Mental Health Counselor in Springfield, Missouri
NPI 1477049930

Amanda Cowart Derham is a Mental Health Counselor based in Springfield, MO and is specialized in Mental Health. Amanda Cowart Derham practices in Springfield, MO and has the professional credentials of LCSW. The NPI Number for Amanda Cowart Derham is 1477049930 and holds a License No. 2006025361 (Missouri).

The current practice location address for Amanda Cowart Derham is 1300 E Bradford Pkwy, Springfield, MO and can be reached out via phone at 417-761-5000 and via fax at 417-761-5065.

Location: 1300 E Bradford Pkwy, Springfield, MO, 65804-4264
person
Provider Profile Details
NPI Number
1477049930
Provider Name
Amanda Cowart Derham
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1300 E Bradford Pkwy, Springfield, MO, 65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5065
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804
Phone Number
417-761-5000
Fax Number
417-761-5065
person
Provider Business Mailing Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804
Phone Number
417-761-5000
Fax Number
417-761-5065
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2006025361 (Missouri)
Definition
Definition to come...
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