Amy Gray Therriault, LCMHC-A, BSN, RN | |
340 Sandy Ridge Rd, Dunn, NC 28334-8824 | |
(252) 665-3071 | |
Not Available |
Full Name | Amy Gray Therriault |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 340 Sandy Ridge Rd, Dunn, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427784370 | NPI | - | NPPES |
A17859 | Other | NC | NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 233656 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | A17859 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amy Gray Therriault, LCMHC-A, BSN, RN 340 Sandy Ridge Rd, Dunn, NC 28334-8824 Ph: (252) 665-3071 | Amy Gray Therriault, LCMHC-A, BSN, RN 340 Sandy Ridge Rd, Dunn, NC 28334-8824 Ph: (252) 665-3071 |