Individual
AMANDA MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
Mailing address
630 KENSINGTON DR, COLUMBUS, OH 43230-8426
(614) 598-5996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.177337
OH
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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