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NPI Code Detail

MEDICARE: AMANDA MCDANIEL

MEDICARE: AMANDA MCDANIEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.1600032OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E.160032OTHEROHLICENSE

General Provider Information

NPI Number : 1205381837
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MCDANIEL
Provider Business Mailing Address
First Line : 110 PARK CENTER DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-1929
Country : US
Telephone Number : 681-588-0550
Fax Number :
Provider Business Practice Location Address
First Line : 110 PARK CENTER DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-1929
Country : US
Telephone Number : 681-588-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 02/11/2025

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Directions to “ AMANDA MCDANIEL ” Practice Location

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