Individual provider · Type 1 NPI

Amanda Malcom, LPC-INTERN

Professional Counselor · Arlington, TX

NPI number 1689930992 Active

Practice location

1601 E Lamar Blvd, 214
Arlington, TX 76011-4510

Call (817) 522-1095 Map

Fax (817) 460-0286

Mailing address

PO Box 10117
River Oaks, TX 76114-0117

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X68512 (TX)

Professional Counselor: Definition to come...

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About NPI 1689930992

Amanda Malcom, LPC-INTERN's National Provider Identifier is 1689930992, issued on Apr 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Arlington, TX. The record was last updated on Apr 11, 2012.