Provider Demographics
NPI:1952046211
Name:CUELLAR, AMANDA DEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:DEE
Last Name:CUELLAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 PRENTISS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3447
Mailing Address - Country:US
Mailing Address - Phone:210-569-3184
Mailing Address - Fax:
Practice Address - Street 1:5915 PRENTISS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3447
Practice Address - Country:US
Practice Address - Phone:210-569-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health