person
Amanda Elizabeth Gentry, LPC
Professional Counselor in Jefferson, North Carolina
NPI 1114040490

Amanda Elizabeth Gentry is a Professional Counselor based in Jefferson, NC and is specialized in Professional. Amanda Elizabeth Gentry practices in Jefferson, NC and has the professional credentials of LPC. The NPI Number for Amanda Elizabeth Gentry is 1114040490 and holds a License No. 3369 (North Carolina).

The current practice location address for Amanda Elizabeth Gentry is 224 North Main Street, Jefferson, NC and can be reached out via phone at 336-846-7492 and via fax at 336-846-7397.

Location: 224 North Main Street, Jefferson, NC, 28640-0212
person
Provider Profile Details
NPI Number
1114040490
Provider Name
Amanda Elizabeth Gentry
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
224 North Main Street, Jefferson, NC, 28640-0212
Phone Number
336-846-7492
Fax Number
336-846-7397
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102328 05 NC
1226J 01 NC BLUECROSS AND BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
224 North Main Street
City
State
Zip
28640
Phone Number
336-846-7492
Fax Number
336-846-7397
person
Provider Business Mailing Address Details
Address
224 North Main Street
City
State
Zip
28640
Phone Number
336-846-7492
Fax Number
336-846-7397
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3369 (North Carolina)
Definition
Definition to come...
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