Individual
AMY RENE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 CANYON RD, REDDING, CA 96001-5544
(530) 232-1400
(530) 378-0857
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
06/16/2010
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