Individual provider · Type 1 NPI
Amanda Doman, AA, CADC
Addiction (Substance Use Disorder) Counselor · Bloomington, IL
NPI number
1205960366
Active
Practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25358 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205960366
Amanda Doman, AA, CADC's National Provider Identifier is 1205960366, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.