Individual provider · Type 1 NPI

Amber Cochran Threatt, MA, LPC, LCAS

Professional Counselor · Concord, NC

NPI number 1700211604 Active

Practice location

250 Branchview Dr NE
Concord, NC 28025-3415

Fax (704) 870-3230

Mailing address

802 Fargo Dr SW
Concord, NC 28027-6936

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-3519 (NC)
Professional Counselor Primary 101YP2500X10198 (NC)

Professional Counselor: Definition to come...

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About NPI 1700211604

Amber Cochran Threatt, MA, LPC, LCAS's National Provider Identifier is 1700211604, issued on Sep 10, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Concord, NC. The record was last updated on Jul 7, 2022.