Individual
MR. DONALD AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0001681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004369
ANTHEM
OH
01
—
0004577072
AETNA
ND
Enumeration date
10/31/2005
Last updated
09/19/2013
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