Individual
AMIE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39155 LIBERTY ST STE E500, FREMONT, CA 94538-1516
(510) 574-2137
Mailing address
39155 LIBERTY ST STE E500, FREMONT, CA 94538-1516
(510) 574-2137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
143691
CA
Other
Enumeration date
05/29/2007
Last updated
12/16/2024
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