Individual
AMANDA DAVIS-BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3619 WALNUT ST, HARRISBURG, PA 17109-2553
(717) 673-8277
Mailing address
PO BOX 764, JONESTOWN, PA 17038-0764
(717) 673-8277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009441
PA
251S00000X
Community/Behavioral Health Agency
BH001491
PA
Other
Enumeration date
03/09/2018
Last updated
07/12/2019
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