Individual
AMANDA CHAVIS-LEGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED, LPC
Contact information
Practice address
110 BRANCHWOOD DR STE B, JACKSONVILLE, NC 28546-5900
(910) 938-9833
(910) 938-9835
Mailing address
1200 SAINT JOSEPH ST APT 16, CAROLINA BEACH, NC 28428-4700
(910) 736-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10388
NC
101YP2500X
Professional Counselor
10388
NC
Other
Enumeration date
01/23/2015
Last updated
04/02/2018
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