Individual
AMY LYNN SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, NCC
Contact information
Practice address
1118 SAM NEWELL RD STE D4, MATTHEWS, NC 28105-5162
(248) 396-8810
(704) 919-5155
Mailing address
401 DEER BRUSH LN, WAXHAW, NC 28173-6307
(248) 396-8810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11665
NC
101YP2500X
Professional Counselor
Primary
11665
NC
Other
Enumeration date
12/18/2015
Last updated
01/03/2023
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