Individual
AMY KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR, ORANGE, CA 92868-3355
(949) 749-2500
Mailing address
265 S ANITA DR, ORANGE, CA 92868-3355
(949) 749-2500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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