Individual
AMANDA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
851 BRADLEY ST, CONCORD, NC 28025-2979
(704) 380-0106
Mailing address
1440 HARDING PL APT 546, CHARLOTTE, NC 28204-0044
(540) 798-8084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13701
NC
225C00000X
Rehabilitation Counselor
00304135
NC
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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