Individual
AMANDA MICHELLE BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
505 HAPPY VALLEY RD, GLASGOW, KY 42141-1539
(270) 746-4357
(270) 245-1772
Mailing address
505 HAPPY VALLEY RD, GLASGOW, KY 42141-1539
(270) 746-4357
(270) 245-1772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
293785
KY
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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