NPI 1013170885

Amanda Grace Connelly

Practitioner Professional Counselor Winston Salem, NC

Practice location

Address: 4140 Cherry St, Winston Salem, NC 27105-2536
Phone: (336) 306-9620
Mailing address: 350 Pee Dee Ave STE 101, Albemarle, NC 28001-4945

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 9785 (NC)

Other Counselor providers in North Carolina →

Registry record

NPI: 1013170885
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2008
Record last updated: 1 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.