Individual
AMANDA JOYE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
110 ELMWOOD AVE, PROVIDENCE, RI 02907-2423
(401) 300-5757
Mailing address
62 POCASSET ST, JOHNSTON, RI 02919-6912
(401) 451-5078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00789
RI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/29/2011
Last updated
10/19/2020
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