Individual provider · Type 1 NPI
Amanda Elizabeth Gentry, L.P.C.
Professional Counselor · Jefferson, NC
NPI number
1114040490
Active
Practice location
224 North Main Street
Jefferson, NC 28640
Fax (336) 846-7397
Mailing address
PO Box 212
Jefferson, NC 28640-0212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3369 (NC) |
Professional Counselor: Definition to come...
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About NPI 1114040490
Amanda Elizabeth Gentry, L.P.C.'s National Provider Identifier is 1114040490, issued on Apr 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson, NC. The record was last updated on Jul 8, 2007.