Individual
AMANDA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II, AA, PSS
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526
(541) 237-5067
(541) 479-2370
Mailing address
1756 SW ALLEN CREEK RD APT B, GRANTS PASS, OR 97527-5597
(541) 659-5741
(541) 507-1891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
06/20/2018
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