Graham, Amanda Jean

Graham, Amanda Jean is an individual health care provider with primary practice located at 100 Diecks Dr , Elizabethtown KY 42701-2443. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Graham, Amanda Jean can be contacted via phone (580) 726-2452.

Contact Information

Primary practice address
100 Diecks Dr Elizabethtown KY 42701-2443
Phone: (580) 726-2452
Fax: (580) 726-2483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 291034 Kentucky

Profile Details

NPI number 1356877245
LBN Legal business name Graham, Amanda Jean
Credentials MSBS, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Mar 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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