Individual
AMANDA LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
Mailing address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A054310225
CA
1041C0700X
Clinical Social Worker
ASW136554
CA
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
03/17/2026
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