Individual
MRS. AMY POWELL JAMIESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MTS, LPC
Contact information
Practice address
1238 MANN DR, MATTHEWS, NC 28105-5539
(704) 552-0116
(704) 552-7550
Mailing address
PO BOX 1798, MATTHEWS, NC 28106-1798
(704) 771-1714
(704) 771-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3971
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130V9
BLUE CROSS BLUE SHIELD NC
NC
05
—
6102269
—
NC
Enumeration date
01/25/2007
Last updated
06/04/2010
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