Individual
AMANDA MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 FAIRFIELD CIR, RAEFORD, NC 28376-6555
(910) 442-7682
Mailing address
206 FAIRFIELD CIR, RAEFORD, NC 28376-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17530
NC
Other
Enumeration date
05/10/2022
Last updated
05/17/2022
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