Individual
AMBER LYNN WAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1105 E CARDINAL ST, SILER CITY, NC 27344-3300
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-30173
NC
1041C0700X
Clinical Social Worker
Primary
P020563
NC
Other
Enumeration date
06/04/2024
Last updated
09/18/2024
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