AMBER SELF

PIKETON, OH
NPI1366089302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  167871)
Enumeration Date2019-12-10
Last Update Date2019-12-10
Business Address
AMBER SELF
15221 ST RT 124
PIKETON, OH 45661
Phone number: 740-947-6727
Mailing Address
AMBER SELF
1957 WESTERN AVE APT 611
CHILLICOTHE, OH 45601-7513
Phone number: