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Amanda M Davis
Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio
NPI 1437658036

Amanda M Davis is an Addiction (Substance Use Disorder) Counselor based in Lucasville, OH and is specialized in Addiction (Substance Use Disorder). Amanda M Davis practices in Portsmouth, OH. The NPI Number for Amanda M Davis is 1437658036 and holds a License No. 164903 (Ohio).

The current practice location address for Amanda M Davis is 4300 Old Scioto Trl, Portsmouth, OH and can be reached out via phone at 740-529-0553.

Location: 4300 Old Scioto Trl, Portsmouth, OH, 45648-8452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437658036
Provider Name
Amanda M Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4300 Old Scioto Trl, Portsmouth, OH, 45648-8452
Phone Number
740-529-0553
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0311167 05 OH
institution
Provider Business Practice Location Address Details
Address
4300 Old Scioto Trl
City
Portsmouth
State
Ohio
Zip
45662-6642
Phone Number
740-529-0553
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Old Scioto Trl
City
Portsmouth
State
Ohio
Zip
45662-6642
Phone Number
740-529-0553
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.
164903 (Ohio)
Definition
Definition to come...
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