Individual
AMANDA KIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CARN
Contact information
Practice address
1000A EMELINE AVE, SANTA CRUZ, CA 95060-1900
(831) 425-0112
Mailing address
270 PALM VALLEY BLVD, #105, SAN JOSE, CA 95123-1047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44AB
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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