Individual
AMANDA NICOLE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
6255 TOWNCENTER DR STE 825, CLEMMONS, NC 27012-9376
(704) 980-9186
Mailing address
4055 HEATHER VIEW LN, WINSTON SALEM, NC 27127-4517
(336) 470-4475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-30321
NC
1041C0700X
Clinical Social Worker
Primary
P021543
NC
175T00000X
Peer Specialist
18357
NC
Other
Enumeration date
10/30/2024
Last updated
04/28/2026
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