Individual
MS. AMANDA SUE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
850 23RD AVE, SUITE A, LONGMONT, CO 80501-1114
(303) 245-0123
(030) 245-0119
Mailing address
850 23RD AVE, SUITE A, LONGMONT, CO 80501-1114
(303) 245-0123
(303) 245-0119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0020826
CO
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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