Amber Self
Counselor, Addiction (Substance Use Disorder) in Piketon, OH. Individual provider (NPI-1).
NPI number1366089302
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1366089302
- Entity type
- Individual (NPI-1)
- Name
- Amber Self
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 167871 | OH | Yes |
Practice location
15221 St Rt 124Piketon, OH 45661
Phone 740-947-6727
Mailing address
1957 Western Ave Apt 611Chillicothe, OH 45601-7513
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