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Individual

MS. AMY D BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2245 STANTONSBURG RD, STE. O, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 757-3172
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540
(252) 413-0932

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1365
NC
101YP2500X
Professional Counselor
Primary
6788
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
416760
MHN
05
6103793
NC
Enumeration date
12/12/2007
Last updated
02/04/2009
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