Individual
MRS. AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III
Contact information
Practice address
1634 SYCAMORE LINE, SANDUSKY, OH 44870-4132
(419) 626-9156
(419) 621-0099
Mailing address
1634 SYCAMORE LINE, SANDUSKY, OH 44870-4132
(419) 626-9156
(419) 621-0099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131185
OH
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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