Amanda Cordova, LPC- S
Counselor, Professional in Nacogdoches, TX. Individual provider (NPI-1).
NPI number1407246770
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1407246770
- Entity type
- Individual (NPI-1)
- Name
- Amanda Cordova
- Credential
- LPC- S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2015
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 61122 | TX | Yes |
Practice location
115 N University Dr Ste ANacogdoches, TX 75961-5126
Phone 936-371-1172 · Fax 866-598-3817
Mailing address
115 N University Dr Ste ANacogdoches, TX 75961-5126
Phone 936-371-1172 · Fax 866-598-3817
Other practice locations
2214 N Pecan St
Nacogdoches, TX 75965-3502
Nacogdoches, TX 75965-3502
Phone 936-560-6855
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