Individual
MRS. AMY L BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
5841 HIGHWAY 421 SOUTH, BUIES CREEK, NC 27506
(910) 893-5727
(910) 893-6404
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112071
—
NC
Enumeration date
02/04/2009
Last updated
05/30/2013
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