Individual
AMANDA ASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N 2ND ST, IRONTON, OH 45638-1235
(740) 442-7045
Mailing address
1007 N 2ND ST, IRONTON, OH 45638-1235
(740) 442-7045
(740) 442-7047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172266
OH
101YM0800X
Mental Health Counselor
QMHS
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404095
—
OH
Enumeration date
05/19/2020
Last updated
02/23/2023
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