Individual
AMANDA MARIE HUDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S PACIFIC AVE, SAN PEDRO, CA 90731-2656
(310) 427-7606
Mailing address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2313820-I
CA
Other
Enumeration date
06/30/2020
Last updated
03/05/2024
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