Individual
AMANDA JO GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, QBHS
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
2219 REVERE AVE APT 11, DAYTON, OH 45420-1869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
191140
OH
171M00000X
Case Manager/Care Coordinator
Primary
191140
OH
Other
Enumeration date
03/21/2025
Last updated
11/11/2025
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