Individual
AMANDA MARIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180328
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
07/23/2019
Last updated
04/27/2023
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