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Individual
MS. AMANDA MICHELE RUNFELDT
Active
Individual
MS. AMANDA MICHELE RUNFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20084
NC
101YM0800X
Mental Health Counselor
9988
NC
Other
Enumeration date
09/27/2012
Last updated
12/11/2018
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