MS. Amanda Clarice Outlaw, LPC, LCAS-P
NPI #1871820134 in Kinston, North Carolina
Provider Information
- NPI Number
- 1871820134
- Entity Type
- Individual
- Name
- MS. Amanda Clarice Outlaw, LPC, LCAS-P
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, LCAS-P
- Enumeration Date
- Nov 6, 2009
- Last Updated
- Nov 6, 2009
Practice Location
- Address
- 855 OLD HOMESTEAD RD
- City
- Kinston
- State
- North Carolina
- ZIP Code
- 28504-6854
- Phone
- (252) 527-0669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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