Individual provider · Type 1 NPI

Amanda Domangue Bourg, PhD

Counseling Psychologist · Tellico Plains, TN

NPI number 1386758068 Active

Practice location

171 Bank St # 221
Tellico Plains, TN 37385-4987

Mailing address

PO Box 221
Tellico Plains, TN 37385-0221

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist Primary 103TC1900X3783 (TN)
Counseling Psychologist 103TC1900X915 (LA)

Counseling Psychologist: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as…

About NPI 1386758068

Amanda Domangue Bourg, PhD's National Provider Identifier is 1386758068, issued on Aug 18, 2006. The primary taxonomy on file is Counseling Psychologist (103TC1900X), and the practice location is in Tellico Plains, TN. The record was last updated on Oct 13, 2022.