Individual
AMY B LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-A/D
Contact information
Practice address
13144 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(240) 313-3310
(240) 313-3239
Mailing address
13101 DEERFIELD DR SW, CUMBERLAND, MD 21502-5922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACO419
MD
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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