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Individual

AMY JO TEITSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S. RASI

Contact information

Practice address
3707 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 522-0124
(925) 522-0133
Mailing address
3707 SUNSET LN, ANTIOCH, CA 94509-6101

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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