Individual
AMBERLY ECHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUD COUNSLOR
Contact information
Practice address
416 CORSON AVE, MODESTO, CA 95350-5408
(209) 521-1805
(209) 521-1827
Mailing address
416 CORSON AVE, MODESTO, CA 95350-5408
(209) 521-1805
(209) 521-1827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C6754517
CA
Other
Enumeration date
01/18/2023
Last updated
12/19/2023
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