Individual
AMY MARIE O'BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1020 CREWS RD STE M, MATTHEWS, NC 28105-7587
(704) 807-6555
Mailing address
527 WALNUT POINT DR, MATTHEWS, NC 28105-1559
(404) 786-0704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11654
LPC
NC
Enumeration date
11/11/2019
Last updated
11/11/2019
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