Individual
AMANDA HAVILL ADGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LCMHC
Contact information
Practice address
1251 LOCHSHIRE LN, GASTONIA, NC 28054-6469
(352) 638-2281
Mailing address
1251 LOCHSHIRE LN, GASTONIA, NC 28054-6469
(352) 638-2281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14476
NC
101YM0800X
Mental Health Counselor
MH13791
FL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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