Individual
AMANDA HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17961 LOST CANYON RD UNIT 51, CANYON COUNTRY, CA 91387-8311
(626) 321-7675
Mailing address
17961 LOST CANYON RD UNIT 51, CANYON COUNTRY, CA 91387-8311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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