Individual
AMY HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10877 CONDUCTOR BLVD, SUITE 300, SUTTER CREEK, CA 95685-9687
(209) 223-6412
Mailing address
10877 CONDUCTOR BLVD, SUITE 300, SUTTER CREEK, CA 95685-9687
(209) 223-6412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4966
ADDICTION SPECIALIST
CA
Enumeration date
05/02/2007
Last updated
10/19/2010
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