Individual
MRS. AMY LYNN FYFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII
Contact information
Practice address
111 N HIGH ST, WAVERLY, OH 45690-1343
(740) 947-2364
(740) 947-2364
Mailing address
107 N BENNETT AVE, JACKSON, OH 45640-1101
(614) 857-5932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161408
OH
Other
Enumeration date
08/30/2017
Last updated
09/12/2017
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