Individual
AMANDA JOANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22646
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
12727
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
12727
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/29/2017
Last updated
12/07/2022
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