Provider Demographics
NPI:1043002397
Name:BOSSERT, AMANDA JONES (CRC, LCMHCA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JONES
Last Name:BOSSERT
Suffix:
Gender:F
Credentials:CRC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2591
Mailing Address - Country:US
Mailing Address - Phone:732-737-1590
Mailing Address - Fax:
Practice Address - Street 1:705 GRIFFITH ST STE 301
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-9308
Practice Address - Country:US
Practice Address - Phone:704-237-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBOSS-YKXCMT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health