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Individual

AMANDA HASTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
234 S. MAGNOLIA AVE, EL CAJON, CA 92020
(619) 333-4240
Mailing address
5930 DIVISION ST APT 303, SAN DIEGO, CA 92114-6639
(619) 867-3318

Taxonomy

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

Other

Enumeration date
06/23/2023
Last updated
06/23/2023
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