Individual
AMANDA MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 CIRBY HILLS DRIVE, ROSEVILLE, CA 95678
(916) 787-8800
Mailing address
101 CIRBY HILLS DRIVE, ROSEVILLE, CA 95678
(916) 787-8800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31624
CA
101YM0800X
Mental Health Counselor
Primary
31624
CA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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