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NPI Code Detail

MEDICARE: MRS. AMANDA LEIGH MCQUEEN MA, LPC

MEDICARE:  MRS. AMANDA LEIGH MCQUEEN  MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorC2782AAL

General Provider Information

NPI Number : 1578074829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA LEIGH MCQUEEN MA, LPC
Provider Business Mailing Address
First Line : 2148 MOORES MILL RD
Second Line :
City : AUBURN
State : AL
Zip : 36830-8447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2148 MOORES MILL RD
Second Line :
City : AUBURN
State : AL
Zip : 36830-8447
Country : US
Telephone Number : 334-329-6063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2017
Last Update Date : 12/10/2021

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Directions to “ MRS. AMANDA LEIGH MCQUEEN MA, LPC” Practice Location

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