Individual
AMANDA BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2637
(937) 426-2686
(937) 426-6230
Mailing address
1411 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2637
(937) 426-2686
(937) 426-6230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1902079
OH
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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