Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
409 MILLERSTOWN ST, CLARKSON, KY 42726-8146
(270) 234-6139
Mailing address
409 MILLERSTOWN ST, CLARKSON, KY 42726-8146
(270) 234-6139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1233
KY
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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