Individual
AMANDA SOMMER BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
Mailing address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1699245449
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT1439540426
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
06/16/2026
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