Individual
AMANDA DENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4750 PALM AVE, RIVERSIDE, CA 92501-4012
(951) 686-0021
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(951) 788-9515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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