Individual
AMANDA JENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 2ND ST, EUREKA, CA 95501-0811
(707) 269-9590
Mailing address
860 11TH ST, ARCATA, CA 95521-5853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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