IndividualActive
Amanda Brock, CDCA
NPI 1861103681 · Addiction (Substance Use Disorder) Counselor · Springfield, OH
Provider details
- NPI number
- 1861103681
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- CDCA.182887 (OH)
Mailing address
640 W 1st St
Springfield, OH 45504-1650
Registry dates
- Enumerated
- 2022-12-13
- Last updated
- 2022-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.