Individual
AMANDA GENEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3789B GREEN RD, BEACHWOOD, OH 44122-5705
(216) 464-5800
(216) 464-1840
Mailing address
3789B GREEN RD, BEACHWOOD, OH 44122-5705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190316
OH
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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