Individual
AMANDA MICHELLE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 FRONT ROYAL PIKE, WINCHESTER, VA 22602-7313
(540) 546-3436
Mailing address
2489-6 MARTINSBURG PIKE, STEPHENSON, VA 22656-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103860
VA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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