Individual
AMANDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, LCAS
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 790-0187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS 20357
NC
103T00000X
Psychologist
Primary
4380
NC
Other
Enumeration date
12/03/2012
Last updated
05/24/2016
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