Individual
AMANDA WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
506 CLIFFVIEW RD, GALAX, VA 24333-5084
(276) 601-2736
(276) 618-7246
Mailing address
506 CLIFFVIEW RD, GALAX, VA 24333-5084
(276) 601-2736
(276) 618-7246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103660
VA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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