Individual
AMANDA B MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(614) 505-3126
Mailing address
649 RANDOLPH CT, WORTHINGTON, OH 43085-5833
(614) 531-1262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161950
OH
225700000X
Massage Therapist
33.023903
OH
Other
Enumeration date
09/14/2018
Last updated
04/08/2025
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