Peterson, Amanda Lee

Peterson, Amanda Lee is an individual health care provider with primary practice located at 975 Kingsview Dr , Lebanon OH 45036-9562. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Peterson, Amanda Lee can be contacted via phone (513) 228-7800.

Contact Information

Primary practice address
975 Kingsview Dr Lebanon OH 45036-9562
Phone: (513) 228-7800
Fax: (513) 228-7848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0800170 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICDC.100327 Ohio

Profile Details

NPI number 1902170996
LBN Legal business name Peterson, Amanda Lee
Credentials PCC, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated May 8th, 2013 - about 13 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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