Individual
AMANDA LIN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4889 SINCLAIR RD STE 105, COLUMBUS, OH 43229-5433
(614) 324-0461
Mailing address
4889 SINCLAIR RD STE 105, COLUMBUS, OH 43229-5433
(614) 324-0461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193806
OH
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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