AMY VITACOLONNA

LAKE JACKSON, TX
NPI1497116875
Former NameAMY MARY MYRFIELD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH60943631)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-03-14
Last Update Date2025-04-08
Business Address
AMY VITACOLONNA MS
117 INDIAN WARRIOR TRL
LAKE JACKSON, TX 77566-3253
Phone number: 360-349-8775
Mailing Address
AMY VITACOLONNA MS
PO BOX 15
ANGLETON, TX 77516-0015
Phone number: 360-349-8775