Individual
AMY MICHELE WENDELOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0773
Mailing address
2574 OLD STAKE RD, CHADBOURN, NC 28431-8244
(843) 957-5259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
7984
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
SC
Enumeration date
11/11/2022
Last updated
04/24/2024
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