Amanda Ashley Violet
Counselor, Addiction (Substance Use Disorder) in Pomona, CA. Individual provider (NPI-1).
NPI number1982183133
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1982183133
- Entity type
- Individual (NPI-1)
- Name
- Amanda Ashley Violet
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
845 E Arrow HwyPomona, CA 91767-2535
Phone 909-624-1233
Mailing address
845 E Arrow HwyPomona, CA 91767-2535
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