Individual
AMBER CATHERINE GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
Mailing address
3522 SANTIAGO CT, MERCED, CA 95348-9534
(209) 752-1099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1521550823
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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