Individual
AMANDA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-6155
Mailing address
1100 KANSAS AVE STE B, MODESTO, CA 95351-1596
(209) 579-1151
(209) 579-9605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/31/2023
Last updated
06/02/2025
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