Most Relevant Information
Provider Data
| NPI Number: | 1003678004 |
| Provider Name: | AMANDA CS KINER LPC, CPCS, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 006069 |
Most Important Dates
| Enumeration Date: | 01/25/2024 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
15320 HWY 129
ALAPAHA
GA
316227351
Practice Location Phone/Fax
| Phone: | 2292133363 |
| Fax: |
Provider Mailing Location
1030 COBBLESTONE DR
BOGART
GA
306223202
Provider Mailing Phone/Fax
| Phone: | 7703137479 |
| Fax: |