| 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 |