Individual
AMY BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14240 IMPERIAL HIGHWAY, LA MIRADA, CA 90638
(562) 946-1587
Mailing address
14240 IMPERIAL HWY, LA MIRADA, CA 90638-1940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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