Individual
AMELIE WANDERSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
200 7TH AVE, SANTA CRUZ, CA 95062-4668
(831) 462-1060
Mailing address
200 7TH AVE, SANTA CRUZ, CA 95062-4668
(831) 462-1060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1606600425
CA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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