Individual
AMANDA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCDC III
Contact information
Practice address
420 SILVER BRIDGE PLZ, GALLIPOLIS, OH 45631
(740) 446-4600
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161418
OH
Other
Enumeration date
11/13/2017
Last updated
06/13/2018
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