Individual
AMBER COLLEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
820 23RD ST, RICHMOND, CA 94804-1338
(510) 229-5000
(510) 235-3112
Mailing address
130 ASTER CT, HERCULES, CA 94547-1202
(510) 799-0522
(510) 235-3112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03-063603
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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