Individual
MRS. AMANDA ELMORE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS-A
Contact information
Practice address
200 DOCTORS DR STE C, JACKSONVILLE, NC 28546-6308
(910) 333-5956
Mailing address
200 DOCTORS DR STE C, JACKSONVILLE, NC 28546-6308
(910) 333-5956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21716
NC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
02/12/2018
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