Individual
MS. AMANDA MICHELE RUNFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, LCAS
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217
(704) 332-9001
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
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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