Individual
AMANDA JEWEL BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W OAK AVE APT B, VISALIA, CA 93291-4929
(559) 967-3600
Mailing address
320 W OAK AVE APT B, VISALIA, CA 93291-4929
(559) 967-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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