Individual
AMANDA LAUREL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
447 S SHARON AMITY RD, CHARLOTTE, NC 28211-2836
(980) 999-3091
Mailing address
402 LLEWELLYN ST, BELMONT, NC 28012-3379
(704) 747-0982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A17213
NC
101YP2500X
Professional Counselor
Primary
A17213
NC
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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