Individual
AMANDA BREANA VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
572 N ARROWHEAD AVE STE 200, SAN BERNARDINO, CA 92401-1212
(303) 266-2700
Mailing address
572 N ARROWHEAD AVE SUITE #200, SAN BERNARDINO, CA 92401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010000228
KIASER PERMANENTE
CA
Enumeration date
07/08/2013
Last updated
01/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us