Individual
AMBER STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R1199550415
Contact information
Practice address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
(818) 582-8836
Mailing address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
(818) 582-8836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1199550415
CA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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