Individual
DONNA AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
650 HOWE AVE # 400B, SACRAMENTO, CA 95825-4731
(916) 993-4131
(916) 993-4886
Mailing address
310 HARRIS AVE, SACRAMENTO, CA 95838-3249
(916) 649-6793
(916) 929-7411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1233011016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629520044
—
CA
Enumeration date
11/02/2016
Last updated
09/24/2019
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