Individual
AMANDA COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10344 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7643
(405) 317-6587
(405) 390-8134
Mailing address
4629 SE 78TH ST, OKLAHOMA CITY, OK 73135-6151
(405) 317-6587
(405) 390-8134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2017
Last updated
04/10/2024
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