Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda P Holston, CDCA173657

Individual provider Peer Specialist · NPI 1902430051

Amanda P Holston, CDCA173657 is a Peer Specialist in Coal Grove, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
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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 CDCA.173657 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.003685 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1902430051
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA173657
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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