Individual
AMANDA ACEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
1309 TATUM DRIVE, NEW BERN, NC 28560-6881
(252) 672-8742
(252) 638-3742
Mailing address
4300 SAPPHIRE CT, SUITE 110, GREENVILLE, NC 27834-9019
(252) 830-7540
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104115
—
NC
Enumeration date
08/29/2006
Last updated
10/09/2009
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