Individual
AMY JEANNE NUNGESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LPC
Contact information
Practice address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Mailing address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162495
OH
101YM0800X
Mental Health Counselor
C.2305598
OH
Other
Enumeration date
04/23/2018
Last updated
06/02/2024
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