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Amanda Park, LPC
NPI 1104313899 · on the registry since 2018 · sole proprietor
Practice
- Address
- 648 Independence Pkwy Ste 400
Chesapeake, VA 23320 - Phone
- (757) 420-0530
- Organisation at this address
- Wellspring Family Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 120
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia