Individual
AMBER LATECE ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1949 5TH ST STE 103, DAVIS, CA 95616-4026
(530) 304-4586
Mailing address
91 SAGINAW CIR, SACRAMENTO, CA 95833-1041
(808) 940-4763
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
CA
Enumeration date
05/03/2021
Last updated
10/08/2022
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