Individual
MRS. AMANDA MATTHEWS-HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC
Contact information
Practice address
1 W JACKSON ST, SULLIVAN, IN 47882-1503
(812) 905-0182
(812) 268-6767
Mailing address
1 W JACKSON ST, SULLIVAN, IN 47882-1503
(812) 905-0182
(812) 268-6767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001130A
IN
101YM0800X
Mental Health Counselor
Primary
39001856A
IN
Other
Enumeration date
03/08/2007
Last updated
11/20/2024
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