Individual
AMBER MARIE WESTPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 13TH AVENUE, LUCERNE, CA 95458
(707) 274-9101
Mailing address
4466 CEDAR AVENUE, CLEARLAKE, CA 95422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10456-R
CA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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