Individual
MRS. AMANDA LEE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Mailing address
103 SUNSET CT, HAMPSTEAD, NC 28443-2791
(910) 546-4643
(910) 347-2216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22406
NC
Other
Enumeration date
10/13/2017
Last updated
01/16/2020
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