Individual
AUDREY LANE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
342 MAIN ST, CANTON, NC 28716-4478
(980) 202-1173
Mailing address
342 MAIN ST, CANTON, NC 28716-4478
(980) 202-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19637
NC
Other
Enumeration date
02/09/2024
Last updated
02/11/2026
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