Individual
AMANDA STUEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
123259
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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