Individual
AMY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-4766
Mailing address
2245 CHALLENGER WAY, SANTA ROSA, CA 95407-5418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
07/17/2025
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