AMANDA JOHNSON

TERRE HAUTE, IN
NPI1316776446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
AMANDA JOHNSON BS, MLD
619 WASHINGTON AVE
TERRE HAUTE, IN 47802-1128
Phone number: 812-917-5006
Mailing Address
AMANDA JOHNSON BS, MLD
619 WASHINGTON AVE
TERRE HAUTE, IN 47802-1128
Phone number: 812-917-5006
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