Individual
AMANDA DEVOLLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPCC-S, LCDCIII
Contact information
Practice address
1225 WOODLAWN AVE, CAMBRIDGE, OH 43725-3094
(855) 692-7247
Mailing address
1495 SUNFLOWER RD, NEW CONCORD, OH 43762-9671
(614) 394-6047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC.121001-3
OH
101YM0800X
Mental Health Counselor
Primary
E.1000376-SUPV
OH
Other
Enumeration date
03/11/2014
Last updated
09/08/2016
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