person
Amanda Self, SUDRC13199
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1023751393

Amanda Self is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Amanda Self practices in Sacramento, CA and has the professional credentials of SUDRC13199. The NPI Number for Amanda Self is 1023751393 and holds a License No. 13199 (California).

The current practice location address for Amanda Self is 310 Harris Ave Ste A, Sacramento, CA and can be reached out via phone at 916-649-6793.

Location: 310 Harris Ave Ste A, Sacramento, CA, 95838-2017
person
Provider Profile Details
NPI Number
1023751393
Provider Name
Amanda Self
Credential
SUDRC13199
Provider Entity Type
Individual
Gender
Female
Address
310 Harris Ave Ste A, Sacramento, CA, 95838-2017
Phone Number
916-649-6793
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 Harris Ave Ste A
City
State
Zip
95838-3249
Phone Number
916-649-6793
Fax Number
person
Provider Business Mailing Address Details
Address
310 Harris Ave Ste A
City
State
Zip
95838-3249
Phone Number
916-649-6793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13199 (California)
Definition
Definition to come...
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