Individual
AMANDA RIVENBARK MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA, NCC
Contact information
Practice address
105 WIND CHIME CT, RALEIGH, NC 27615-6460
(919) 916-5006
Mailing address
105 WIND CHIME CT, RALEIGH, NC 27615-6460
(919) 916-5006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19918
NC
Other
Enumeration date
04/22/2024
Last updated
06/10/2024
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