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Individual

AMY HOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
20 N GRAND AVE STE 110D, FORT THOMAS, KY 41075-4106
(859) 630-2336
(513) 828-0250
Mailing address
187 PAVILION PKWY # 132, NEWPORT, KY 41071-2891
(859) 630-2336

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
165583
KY
101YP2500X
Professional Counselor
E.1100627
OH
101YP2500X
Professional Counselor
LPCPCC00222201
KY

Other

Enumeration date
12/14/2014
Last updated
02/27/2021
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