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Individual

AMANDA MARIE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
780 GREGG ST, WASHINGTON COURT HOUSE, OH 43160-1564
(740) 313-7513
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA189407
OH
171M00000X
Case Manager/Care Coordinator
Primary
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/13/2024
Last updated
07/13/2026
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