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Individual

AMY HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADC MAC SAP WV LIC

Contact information

Practice address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 781-5138
(304) 781-5139
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 523-8115

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103T00000X
Psychologist
Primary
1210
WV

Other

Enumeration date
05/30/2017
Last updated
11/13/2020
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