Amy Michelle McKown
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Caldwell, OH
NPI 1891273264 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1891273264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 167596 (OH)
- Practice address
- 18003 Woodsfield Rd Ste 2
Caldwell, OH 43724-9709 - Phone
- (740) 732-5988
- Fax
- (740) 732-4154
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167596 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 167596 | OH | Yes |
Addresses
Primary practice location
18003 Woodsfield Rd Ste 2
Caldwell, OH 43724-9709
Mailing address
38801 Goose Run Rd
Dexter City, OH 45727-9754
Phone (740) 732-5988
Other providers in Caldwell, OH
- Sheila Jo Kackley
- Lynn Lee
- George Eric Magyar
- Mary E Rex
- Roberta McFarland
- James William Mershon
- Thomas Douglas Murray
- Alicia Maye Nau
- Kathryn Nau
- New Beginnings Home Care LLC
All providers in Caldwell, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.