Individual
AMANDA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
(502) 647-0154
Mailing address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
294072
KY
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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