Amanda Mincey
Counselor, Addiction (Substance Use Disorder) in Archie, MO. Individual provider (NPI-1).
NPI number1316632508
StatusActive
Last updated in NPPESApr 5, 2023
Details
- NPI
- 1316632508
- Entity type
- Individual (NPI-1)
- Name
- Amanda Mincey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Apr 5, 2023
- Last updated
- Apr 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11201 | MO | Yes |
Practice location
302 S Main StArchie, MO 64725-9608
Phone 816-372-2948
Mailing address
802 S Main StClinton, MO 64735-2624
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