Individual
AMANDA MINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 S MAIN ST, ARCHIE, MO 64725-9608
(816) 372-2948
Mailing address
802 S MAIN ST, CLINTON, MO 64735-2624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11201
MO
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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