Individual
AMANDA CARRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 PENNSYLVANIA DR STE 1, WATSONVILLE, CA 95076-3768
(831) 319-4200
(831) 319-4204
Mailing address
284 PENNSYLVANIA DR STE 1, WATSONVILLE, CA 95076-3768
(831) 319-4200
(831) 319-4204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10226
CA
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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