Individual
AMANDA CLERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
16 W MARTIN ST STE 201, RALEIGH, NC 27601-2991
(984) 369-9756
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34005212A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO1255
NC
101YM0800X
Mental Health Counselor
34005212A
IN
101YM0800X
Mental Health Counselor
CO1255
NC
1041C0700X
Clinical Social Worker
Primary
C012555
NC
Other
Enumeration date
10/12/2006
Last updated
05/10/2023
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