AMANDA BUMGARNER

LAKE MARY, FL
NPI1205425428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: FL  19847)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
AMANDA BUMGARNER
3415 W LAKE MARY BLVD # 950103
LAKE MARY, FL 32746-3411
Phone number: 407-602-4194
Mailing Address
AMANDA BUMGARNER
PO BOX 950103
LAKE MARY, FL 32795-0103
Phone number: 407-602-4194