Individual
AMANDA DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, LCADC
Contact information
Practice address
2220 EXECUTIVE DR STE 102, LEXINGTON, KY 40505-4871
(859) 309-8737
Mailing address
PO BOX 2141, LEXINGTON, KY 40588-2141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
278317
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
257182
KY
Other
Enumeration date
07/29/2020
Last updated
05/25/2023
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