Individual
AMELIA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1822 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3381
(336) 628-8615
Mailing address
2205 NEW GARDEN RD APT 3516, GREENSBORO, NC 27410-1752
(931) 896-3973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19386
NC
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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