Individual
AMANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 S KNOTT AVE, #107, ANAHEIM, CA 92804-2900
(949) 207-6369
Mailing address
729 S KNOTT AVE, #107, ANAHEIM, CA 92804-2900
(949) 207-6369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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