Individual
AMBER CRUICKSHANK-ALTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT I
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
Mailing address
1127 B ST APT 112, MERCED, CA 95341-6270
(209) 741-6224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1511770623
CA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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