Individual
AMY PARKER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274364
—
OH
Enumeration date
05/26/2017
Last updated
05/21/2020
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