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
780 GREGG ST, WASHINGTON COURT HOUSE, OH 43160-1564
(740) 313-7513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA189407
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/13/2024
Last updated
03/05/2025
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