| Doctor Name: | DEBRA AMOS |
| NPI Number: | 1326339987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1904 |
| Business Practice Address: | 200 Route 98 Nutter Fort, WV - 26301 |
| Business Phone Number: | 3046235711 |
| Business Fax Number: | |
| Mailing Address: | Rr 1 Box 311, CLARKSBURG |
| State: | WV |
| Postal Code: | 263019751 |
| Phone Number: | 3046246235 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2011 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |