Individual
AMBER MIRANDA CEPEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
(530) 477-9800
Mailing address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NA
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/10/2017
Last updated
11/21/2018
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