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Individual

MS. AMANDA JOAN OVEROCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
425 SPRING GARDEN ST, GREENSBORO, NC 27401-2733
(336) 379-0199
(336) 574-1139
Mailing address
3824 BLAIRWOOD STREET, GREENSBORO, NC 27265
(336) 202-2582
(336) 574-1139

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6516
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103620
NC
Enumeration date
03/31/2007
Last updated
08/28/2017
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