Individual
AMY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 GORDON LN, SANTA ROSA, CA 95404-5636
(415) 861-0828
Mailing address
1120 GORDON LN, SANTA ROSA, CA 95404-5636
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/07/2024
Last updated
11/19/2025
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