Amanda B Coulbourn, MS
Counselor, Mental Health in Henrico, VA. Individual provider (NPI-1).
NPI number1629782016
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1629782016
- Entity type
- Individual (NPI-1)
- Name
- Amanda B Coulbourn
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701012047 | VA | Yes |
Practice location
8500 Mayland Dr Ste 200Henrico, VA 23294-4700
Phone 804-214-6699
Mailing address
8500 Mayland Dr Ste 200Henrico, VA 23294-4700
Phone 804-214-6699
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