Provider Demographics
NPI:1871929943
Name:DOSSAJI, AMANDA ELISE (LPC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:ELISE
Last Name:DOSSAJI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:ELISE
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LPC-S
Mailing Address - Street 1:1239 BARONNE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1203
Mailing Address - Country:US
Mailing Address - Phone:706-713-6910
Mailing Address - Fax:
Practice Address - Street 1:1239 BARONNE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1203
Practice Address - Country:US
Practice Address - Phone:504-669-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health