Individual
MRS. AMANDA MARIE MCCROREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDA
Contact information
Practice address
333 10TH AVE W, GOODING, ID 83330-1522
(208) 595-9113
Mailing address
333 10TH AVE W, GOODING, ID 83330-1522
(208) 595-9113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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