Individual
AMANDA ROSE BOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMPSS, RDAT
Contact information
Practice address
2500 N PALM CANYON DR STE A4, PALM SPRINGS, CA 92262-1866
(760) 424-5602
(760) 670-2734
Mailing address
2500 N PALM CANYON DR STE A4, PALM SPRINGS, CA 92262-1866
(760) 424-5602
(760) 670-2734
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1613790525
CA
175T00000X
Peer Specialist
Primary
MPSS-OVETLI
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MPSS-OVETLI
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY (CALMHSA)
CA
01
—
R1613790525
CCAPP (CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS)
CA
Enumeration date
01/10/2023
Last updated
06/05/2025
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