Individual
AMY E LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., L.C.A.S.
Contact information
Practice address
5105 MONROE RD, SUITE E, CHARLOTTE, NC 28205-7825
(704) 293-9177
Mailing address
PO BOX 9373, CHARLOTTE, NC 28299-9373
(704) 293-9177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20341
NC
1041C0700X
Clinical Social Worker
Primary
C008081
NC
Other
Enumeration date
05/01/2013
Last updated
01/26/2016
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