Individual
AMANDA WIECHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E STATE ST, ATHENS, OH 45701-1856
(740) 326-6110
Mailing address
747 SPRING ST, GREENFIELD, OH 45123-1137
(937) 661-0230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
02/11/2025
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