Individual provider · Type 1 NPI

Amanda Holloway

Professional Counselor · Riverdale, GA

NPI number 1114385598 Active

Practice location

150 Medical Way
Riverdale, GA 30274-2533

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008361 (GA)

Professional Counselor: Definition to come...

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About NPI 1114385598

Amanda Holloway's National Provider Identifier is 1114385598, issued on Feb 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Riverdale, GA. The record was last updated on Feb 1, 2016.