Individual
AMANDA ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7351 US-60, ASHLAND, KY 41102
(606) 331-1069
Mailing address
7351 US 60, ASHLAND, KY 41102
(606) 331-1069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
10/21/2024
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