Individual
AMANDA P HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA.170195
Contact information
Practice address
8308 OHIO RIVER RD STE B, WHEELERSBURG, OH 45694
(740) 529-1201
Mailing address
8308 OHIO RIVER RD STE B, WHEELERSBURG, OH 45694-1713
(740) 529-1201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170195
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.003685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392689
—
OH
Enumeration date
02/27/2020
Last updated
08/19/2025
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