Individual
AMBER DAWN STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 MARTIN LUTHER KING BLVD, FRESNO, CA 93706
(559) 265-4800
Mailing address
4865 N WISHON AVE, FRESNO, CA 93704-3129
(559) 903-0850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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