Individual
AMBER RAE SHUPE
Active
Individual
AMBER RAE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATES DEGREE
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130960
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/05/2024
Last updated
07/23/2025
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