Individual
MS. AMANDA ROSE VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAADC, MAC, ICCDP
Contact information
Practice address
4637 COLUMBIA RIVER CT, SAN JOSE, CA 95136-2765
(408) 365-4559
Mailing address
4637 COLUMBIA RIVER CT, SAN JOSE, CA 95136-2765
(408) 365-4559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LR01860216
CA
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
01/16/2007
Last updated
12/09/2021
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