Individual
AMANDA K PARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
260 W DAVIS ST STE D, BURLINGTON, NC 27215-3707
(336) 343-9350
Mailing address
1515 SHADYLAWN DR, BURLINGTON, NC 27215-2019
(336) 343-9350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23451
NC
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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