Individual
DEBRA AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 ROUTE 98, NUTTER FORT, WV 26301
(304) 623-5711
Mailing address
RR 1 BOX 311, CLARKSBURG, WV 26301-9751
(304) 624-6235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1904
WV
Other
Enumeration date
04/29/2011
Last updated
04/16/2013
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