Individual
AMANDA KAY EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14930 LAPLAISANCE RD, MONROE, MI 48161-3880
(734) 344-5269
(734) 430-8188
Mailing address
114 S WEST ST APT 3, ROYAL OAK, MI 48067-2570
(810) 895-1351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-2060761
—
MI
Enumeration date
06/30/2022
Last updated
06/30/2022
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