Individual
AMANDA GAIL WOOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, LPCC
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797
Mailing address
115 ROVKWOOD LN, HAZARD, KY 41701
(800) 575-7223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
279574
KY
Other
Enumeration date
07/01/2019
Last updated
09/19/2023
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