| NPI | 1023528437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J LEE-DEGNER Owner/Therapist 229-343-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 169075) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-03-11 |