Individual
AMBER PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 N DUTTON AVE, SANTA ROSA, CA 95401-4609
(707) 888-2927
Mailing address
327 COLLEGE AVE, SANTA ROSA, CA 95401-5117
(707) 568-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/12/2018
Last updated
04/07/2022
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