Individual
AMANDA J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
227 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-2234
(704) 861-2235
Mailing address
227 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-2234
(704) 861-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11157
NC
101YP2500X
Professional Counselor
11157
NC
Other
Enumeration date
10/06/2014
Last updated
03/11/2021
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