Individual
AMANDA LORENA RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3353 BRADSHAW RD STE 106, SACRAMENTO, CA 95827-2608
(916) 854-4564
Mailing address
2393 HUCKLEBERRY LN, VALLEY SPRINGS, CA 95252-9208
(209) 772-2801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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