Individual
MS. AMANDA CLARICE OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS-P
Contact information
Practice address
855 OLD HOMESTEAD RD, KINSTON, NC 28504-6854
(252) 527-0669
Mailing address
855 OLD HOMESTEAD RD, KINSTON, NC 28504-6854
(252) 527-0669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7537
NC
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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