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Amanda Wall
Addiction (Substance Use Disorder) Counselor in Redding, California
NPI 1811520851

Amanda Wall is an Addiction (Substance Use Disorder) Counselor based in Redding, CA and is specialized in Addiction (Substance Use Disorder). Amanda Wall practices in Redding, CA. The NPI Number for Amanda Wall is 1811520851 and holds a License No. (California).

The current practice location address for Amanda Wall is 3617 Ricardo Ave Apt 1, Redding, CA and can be reached out via phone at 530-722-1114.

Location: 3617 Ricardo Ave Apt 1, Redding, CA, 96002-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811520851
Provider Name
Amanda Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
3617 Ricardo Ave Apt 1, Redding, CA, 96002-3133
Phone Number
530-722-1114
Fax Number
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3617 Ricardo Ave Apt 1
City
Redding
State
California
Zip
96002-2653
Phone Number
530-722-1114
Fax Number
person
Provider Business Mailing Address Details
Address
3617 Ricardo Ave Apt 1
City
Redding
State
California
Zip
96002-2653
Phone Number
530-722-1114
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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