Individual provider · NPI-1
Amanda Adkins, CDCA
Counselor, Addiction (Substance Use Disorder) · Portsmouth, OH
NPI number1710512926
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1710512926
- Entity type
- Individual (NPI-1)
- Name
- Amanda Adkins
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2020
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.177369 | OH | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
Mailing address
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
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