Individual
AMANDA ADHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
33008127A
IN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33008218A
COMMERCIAL
IN
05
—
33008218A
—
IN
05
—
34009199A
—
IN
Enumeration date
03/13/2019
Last updated
02/24/2022
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