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Amber Self
Addiction (Substance Use Disorder) Counselor in Piketon, Ohio
NPI 1366089302

Amber Self is an Addiction (Substance Use Disorder) Counselor based in Chillicothe, OH and is specialized in Addiction (Substance Use Disorder). Amber Self practices in Piketon, OH. The NPI Number for Amber Self is 1366089302 and holds a License No. 167871 (Ohio).

The current practice location address for Amber Self is 15221 St Rt 124, Piketon, OH and can be reached out via phone at 740-947-6727.

Location: 15221 St Rt 124, Piketon, OH, 45601-7513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366089302
Provider Name
Amber Self
Credential
Provider Entity Type
Individual
Gender
Female
Address
15221 St Rt 124, Piketon, OH, 45601-7513
Phone Number
740-947-6727
Fax Number
Provider Enumeration Date
12/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15221 St Rt 124
City
Piketon
State
Ohio
Zip
45661
Phone Number
740-947-6727
Fax Number
person
Provider Business Mailing Address Details
Address
15221 St Rt 124
City
Piketon
State
Ohio
Zip
45661
Phone Number
740-947-6727
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
167871 (Ohio)
Definition
Definition to come...
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