Individual
AMANDA REES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 E WALNUT ST STE 117, PASADENA, CA 91106-5129
(626) 773-4364
Mailing address
1245 E WALNUT ST STE 117, PASADENA, CA 91106-5129
(626) 773-4364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15772-RAC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15772-RAC
SUD
CA
Enumeration date
09/23/2022
Last updated
09/23/2022
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