Amanda N Polsley, CDCA QMHS
Counselor, Addiction (Substance Use Disorder) in Ironton, OH. Individual provider (NPI-1).
NPI number1619703535
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1619703535
- Entity type
- Individual (NPI-1)
- Name
- Amanda N Polsley
- Credential
- CDCA QMHS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA193813 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | CDCA.189818 | OH |
Practice location
700 Park AveIronton, OH 45638-1502
Phone 740-532-1613 · Fax 740-879-0599
Mailing address
Po Box 108Ironton, OH 45638-0108
Phone 740-532-1613 · Fax 740-879-0599
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All 358 Addiction (Substance Use Disorder) Counselor providers in Ironton · All 1,357 providers in Ironton
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