Individual
AMANDA JO HURST I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 N ESCONDIDO BLVD, ESCONDIDO, CA 92026-2507
(760) 747-1015
Mailing address
1341 N ESCONDIDO BLVD, ESCONDIDO, CA 92026-2507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1452881221
CA
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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