person
Amanda Louise Black, SUDPT
Addiction (Substance Use Disorder) Counselor in Mossyrock, Washington
NPI 1538941273

Amanda Louise Black is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Amanda Louise Black practices in Mossyrock, WA and has the professional credentials of SUDPT. The NPI Number for Amanda Louise Black is 1538941273 and holds a License No. CO61208402 (Washington).

The current practice location address for Amanda Louise Black is 230 E State St, Mossyrock, WA and can be reached out via phone at 360-266-5585 and via fax at 360-262-6620.

Location: 230 E State St, Mossyrock, WA, 98532-0340
person
Provider Profile Details
NPI Number
1538941273
Provider Name
Amanda Louise Black
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
230 E State St, Mossyrock, WA, 98532-0340
Phone Number
360-266-5585
Fax Number
360-262-6620
Provider Enumeration Date
10/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
230 E State St
City
State
Zip
98564-2501
Phone Number
360-266-5585
Fax Number
360-262-6620
person
Provider Business Mailing Address Details
Address
230 E State St
City
State
Zip
98564-2501
Phone Number
360-266-5585
Fax Number
360-262-6620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61208402 (Washington)
Definition
Definition to come...
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