Doctor Name: | MRS. AMY MARIE KRANTZ METZGAR |
NPI Number: | 1073531430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC, NCSC |
License Number: | 4138 |
Business Practice Address: | 8211 Village Harbor Dr Cornelius, NC - 280313706 |
Business Phone Number: | 7048813884 |
Business Fax Number: | 7048967836 |
Mailing Address: | Po Box 4734, MOORESVILLE |
State: | NC |
Postal Code: | 281174734 |
Phone Number: | 7048813884 |
Fax Number: | 7048967836 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |