Individual
AMANDA VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 1/2 S UNION AVE, BAKERSFIELD, CA 93307-3642
(661) 321-0234
(661) 321-9856
Mailing address
1010 1/2 S UNION AVE, BAKERSFIELD, CA 93307-3642
(661) 321-0234
(661) 321-9856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1202750615
CA
Other
Enumeration date
03/13/2015
Last updated
03/21/2017
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