Individual
AMANDA LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
2452 WILSHIRE ST, RIVERSIDE, CA 92501-2144
(951) 682-6631
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 452-2029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
08/22/2024
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