Individual
AMANDA DANIELLE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MERCED ST, FOWLER, CA 93625
(559) 892-9452
Mailing address
311 E MERCED ST, FOWLER, CA 93625-2316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SUDRC20603
CA
101YM0800X
Mental Health Counselor
—
CA
106H00000X
Marriage & Family Therapist
Primary
AMFT157143
CA
Other
Enumeration date
10/18/2023
Last updated
09/03/2025
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