Individual
AMANDA CICCHINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1569 STATE ROUTE 28, LOVELAND, OH 45140-6086
(513) 575-0968
Mailing address
1569 STATE ROUTE 28, LOVELAND, OH 45140-6086
(513) 575-0968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.167885
OH
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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