Individual
EMILY ANN PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A, LCAS-A, NCC
Contact information
Practice address
124 TILLEY RD, VILAS, NC 28692-8398
(336) 870-5636
Mailing address
511 OAK ST, BOONE, NC 28607-5809
(336) 870-5636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25831
NC
101YM0800X
Mental Health Counselor
Primary
A15316
NC
Other
Enumeration date
01/29/2020
Last updated
04/25/2024
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