Individual
AMY COATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
117 E HARRY BRIDGES BLVD, WILMINGTON, CA 90744-5825
(310) 549-8383
(310) 549-9304
Mailing address
117 E HARRY BRIDGES BLVD, WILMINGTON, CA 90744-5825
(310) 549-8383
(310) 549-9304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI20630918
CA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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