Individual
AMANDA S RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 N SOUTH ST, WILMINGTON, OH 45177-2211
(937) 623-6114
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/30/2016
Last updated
02/22/2023
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