Individual
AMANDA FILLBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 536-6712
Mailing address
2911 MEADOWBROOK BLVD, CLEVELAND HEIGHTS, OH 44118-2801
(216) 816-8181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1100256
OH
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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