Individual
AMBER LIVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LCMHC, LCAS,
Contact information
Practice address
79 JOHNNY MARLOW RD, FAIRVIEW, NC 28730-9641
(828) 545-3232
Mailing address
79 JOHNNY MARLOW RD, FAIRVIEW, NC 28730-9641
(828) 275-7243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20127
NC
101YM0800X
Mental Health Counselor
Primary
10711
NC
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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