Individual
AMANDA MEARS KOBALLA
Active
Individual
AMANDA MEARS KOBALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-31192
NC
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
P022707
NC
Other
Enumeration date
06/30/2025
Last updated
04/28/2026
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