Individual
AMANDA GRAY GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A, LCAS-A
Contact information
Practice address
69 N BROAD ST, BREVARD, NC 28712-3725
(828) 631-3973
(828) 631-9280
Mailing address
220 5TH AVE E, HENDERSONVILLE, NC 28792-4377
(828) 692-4289
(828) 696-1794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28343
NC
1041C0700X
Clinical Social Worker
Primary
P018499
NC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/25/2022
Last updated
01/05/2023
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