Individual
AMY NICOLE ENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 207-3383
Mailing address
29814 WOLFE RD, CIRCLEVILLE, OH 43113-9734
(740) 207-3383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183077
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
83077
OH
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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