Amber Latece Alderson, MA
Individual provider Active NPI Counselor · Davis, CA
NPI 1013590447 · NPPES record last updated Oct 8, 2022
Key facts
- NPI
- 1013590447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1949 5TH St Ste 103
Davis, CA 95616-4026 - Phone
- (530) 304-4586
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Ranch Treatment Services for Children | Current |
Accepting new patients |
Locations
1949 5th St
Ste 103
Davis, CA 95616
Phone (530) 304-4586
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1949 5TH St Ste 103
Davis, CA 95616-4026
Mailing address
91 Saginaw Cir
Sacramento, CA 95833-1041
Phone (808) 940-4763
Other practice location 1
534 B St
Santa Rosa, CA 95401-5211
Phone (707) 579-0465
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | CA | N/A |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalderson@secure.wi.edu | ||
| Direct Messaging Address | amber@progressranch.org | Direct | |
| Direct Messaging Address | amber@progressranch.org | Direct | |
| Direct Messaging Address | aalderson@secure.wi.edu |
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.