Individual provider · Type 1 NPI

Amanda Grace Connelly

Professional Counselor · Winston Salem, NC

NPI number 1013170885 Active

Practice location

4140 Cherry St
Winston Salem, NC 27105-2536

Mailing address

350 Pee Dee Ave Ste 101
Albemarle, NC 28001-4945

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X9785 (NC)

Professional Counselor: Definition to come...

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About NPI 1013170885

Amanda Grace Connelly's National Provider Identifier is 1013170885, issued on Jul 2, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 1, 2017.