Individual
AMANDA POPPITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRC
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
Mailing address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
06/21/2023
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