Individual
MISS AMANDA MARIE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
350 SOUTH IRWIN, HOLLAND, OH 43528
(419) 222-4474
Mailing address
1336 LACLEDE RD, TOLEDO, OH 43612-1645
(567) 312-1255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA173607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173607
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
04/02/2021
Last updated
04/02/2021
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