Amanda Self, SUDRC13199
Amanda Self, SUDRC13199 is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
310 Harris Ave Ste ASacramento, CA 95838-3249
Phone: (916) 649-6793
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 13199 (CA) |
|---|
Record details
| NPI number | 1023751393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC13199 |
| Sole proprietor | No |
| NPI enumerated | April 15, 2022 |
| Last updated in NPPES | June 23, 2022 |
| Certification date | June 23, 2022 |
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