Individual
AMBER LYNN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT, PEER SUPPORT
Contact information
Practice address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 745-7786
Mailing address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 745-7786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
03/31/2026
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