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Individual

AMANDA MARIE WEATHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9605
Mailing address
4409 TRENHOLM RD APT B, COLUMBIA, SC 29206-4480
(803) 587-5313

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/03/2025
Last updated
10/30/2025
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