Individual
AMANDA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-CAS
Contact information
Practice address
21545 CENTRE POINTE PKWY, SANTA CLARITA, CA 91350-2947
(661) 259-9439
Mailing address
21545 CENTRE POINTE PKWY, SANTA CLARITA, CA 91350-2947
(661) 259-9439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C034270315
CA
Other
Enumeration date
03/28/2019
Last updated
11/07/2019
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