Individual
AMIR AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 BELMONT PL, MANTECA, CA 95337-8418
(313) 296-8734
Mailing address
1824 BELMONT PL, MANTECA, CA 95337-8418
(313) 296-8734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017476
MI
101Y00000X
Counselor
—
MI
101YM0800X
Mental Health Counselor
5341
CA
101YM0800X
Mental Health Counselor
6401017476
MI
101YM0800X
Mental Health Counselor
LPCC10248
CA
Other
Enumeration date
11/02/2018
Last updated
08/04/2022
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