Individual
AMANDA DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
44359 PALM ST, INDIO, CA 92201-3116
(760) 324-6616
Mailing address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1584031024
CA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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