Individual
AMANDA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E FRAZIER AVE, COLUMBIA, KY 42728-1915
(270) 384-4719
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/06/2024
Last updated
05/13/2026
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