Individual provider · Type 1 NPI
Amanda Michele Runfeldt, MS, NCC, LPC, LCAS
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1063763290
Active
Practice location
515 Clanton Rd
Charlotte, NC 28217
Other practice locations
- 708 S Chestnut St, Support Incorporated, Gastonia, NC 28054 · (704) 865-3525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 9988 (NC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20084 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1063763290
Amanda Michele Runfeldt, MS, NCC, LPC, LCAS's National Provider Identifier is 1063763290, issued on Sep 27, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Dec 11, 2018.