Individual
AMANDA DAWN KAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCSWA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412
(910) 343-0145
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20918
—
1041C0700X
Clinical Social Worker
P012256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20918
LCSWA
—
Enumeration date
11/28/2017
Last updated
07/26/2018
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