IndividualActive
Amanda Graham, MSBS, LCADC
NPI 1356877245 · Addiction (Substance Use Disorder) Counselor · Elizabethtown, KY
Provider details
- NPI number
- 1356877245
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MSBS, LCADC
- Sex
- Female
- Sole proprietor
- No
- License
- 291034 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 Diecks Dr
Elizabethtown, KY 42701-2443
Phone: (580) 726-2452
Fax: (580) 726-2483
Approximate (ZIP-level) locationGet directions
Mailing address
100 Diecks Dr
Elizabethtown, KY 42701-2443
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2024-03-10
- Certified
- 2024-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.