Individual
MS. AMY BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
Mailing address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
(559) 229-9060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1538551223
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2023
Last updated
12/01/2023
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