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General NPI Number Information
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NPI Number | 1972164689
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Entity Type | Individual
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Provider Name | AMANDA ELIZABETH WILLIAMS LPCC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 81 STORMS RD
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City | CORBIN
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State | KY
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Zip | 40701-4380
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Country | US
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Telephone | 865-279-2913
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Fax |
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Provider Business Mailing Address
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Address Line | 81 STORMS RD
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City | CORBIN
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State | KY
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Zip | 40701-4380
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 279348
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 287901
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License Number State | KY
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