Amanda Louise Black, SUDPT
Amanda Louise Black, SUDPT is an Addiction (Substance Use Disorder) Counselor in Mossyrock, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
230 E State StMossyrock, WA 98564-2501
Phone: (360) 266-5585
Fax: (360) 262-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO61208402 (WA) |
|---|
Record details
| NPI number | 1538941273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDPT |
| Sole proprietor | No |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
Other providers in Mossyrock
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David Richard Baldwin, CP00006153
230 E State St, Mossyrock, WA 98564 · (360) 983-3257