Individual
AMANDA HAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MAIN ST, SPENCER, WV 25276-1314
(304) 927-7775
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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