Individual
AMANDA JILL MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
162 N BLACK BRANCH RD, CECILIA, KY 42724-9522
(270) 401-1104
Mailing address
162 N BLACK BRANCH RD, CECILIA, KY 42724-9522
(270) 401-1104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
170685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30605018
—
KY
Enumeration date
02/14/2007
Last updated
01/23/2017
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