Individual
AMANDA REYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 JESSIE ST, BAKERSFIELD, CA 93305-4114
(661) 395-6320
Mailing address
1932 JESSIE ST, BAKERSFIELD, CA 93305-4114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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