Individual
AMBER FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-8004
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174661
OH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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