Individual
AMBER COCHRAN THREATT
Active
Individual
AMBER COCHRAN THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3519
NC
101YP2500X
Professional Counselor
Primary
10198
NC
Other
Enumeration date
09/10/2013
Last updated
07/07/2022
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