Individual
AMANDA CLARISSA ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
10408 LA DESPENSA AVE, FOUNTAIN VALLEY, CA 92708-5258
(949) 301-3670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1545380124
CA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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