Individual
AMANDA ONEAL-EDELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
(859) 375-9202
Mailing address
PO BOX 188, WILLISBURG, KY 40078-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1849
KY
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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