Individual
AMANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.M.A., C.T.T.S
Contact information
Practice address
227 VALLEY VIEW DR, WAVERLY, OH 45690-9135
(740) 947-7726
(740) 947-9354
Mailing address
227 VALLEY VIEW DR, WAVERLY, OH 45690-9135
(740) 947-7726
(740) 947-9354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SH208254
OH
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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