Individual
MS. AMANDA ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414
(937) 387-6395
Mailing address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.168124
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315594
—
OH
Enumeration date
09/21/2018
Last updated
09/05/2019
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