Amanda Evette Vital, BGS, MAT, EDS
Amanda Evette Vital, BGS, MAT, EDS is a Mental Health Counselor in Lake Charles, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1409 Kirkman StLake Charles, LA 70601-5344
Phone: (337) 419-3586
Fax: (855) 239-9737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1275039588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BGS , MAT , EDS |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2018 |
| Last updated in NPPES | April 4, 2018 |
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