Individual
AMY GRACE CANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 ALAMEDA DEL PRADO, NOVATO, CA 94949-6302
(415) 302-2835
Mailing address
411 ALAMEDA DEL PRADO, NOVATO, CA 94949-6302
(415) 302-2835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I88065
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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