Individual
AMANDA J DEPROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
4713 CURLETTO DR, CONCORD, CA 94521-2125
(714) 613-3135
Mailing address
4713 CURLETTO DR, CONCORD, CA 94521-2125
(714) 613-3135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1374870120
CA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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