Amy Bender
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · La Mirada, CA
NPI 1962851410 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1962851410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 14240 Imperial Highway
La Mirada, CA 90638 - Phone
- (562) 946-1587
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
14240 Imperial Highway
La Mirada, CA 90638
Mailing address
14240 Imperial Hwy
La Mirada, CA 90638-1940
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- Kyla Baum
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- Blake Wade Berman
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All providers in La Mirada, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. 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.