Individual
MISS AMANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED., LPC
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
165 E PARK AVE., HOMES FOR KIDS, INC., NILES, OH 44446
(330) 544-8005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1400236
OH
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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