Individual
HALEIGH AMANDA WINBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LPA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25211
NC
103T00000X
Psychologist
5584
NC
Other
Enumeration date
03/19/2019
Last updated
01/26/2023
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