Individual
AMIKO PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 THRUSH AVE, SAN LEANDRO, CA 94578-2063
(510) 613-5927
Mailing address
107 JACKSON ST, HAYWARD, CA 94544-1948
(510) 886-8696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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