Individual provider · Type 1 NPI

Amanda Cowart Derham, LCSW

Mental Health Counselor · Springfield, MO

NPI number 1477049930 Active

Practice location

1300 E Bradford Pkwy
Springfield, MO 65804

Fax (417) 761-5065

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2006025361 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1477049930

Amanda Cowart Derham, LCSW's National Provider Identifier is 1477049930, issued on Jul 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MO. The record was last updated on Jan 15, 2019.