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MRS. ASHLEY RACHAEL AMUNDSON PCCI

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104474493

Individual Registrant:
MRS. ASHLEY RACHAEL AMUNDSON PCCI
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2912 MANAGUA PL  CARLSBAD, CA 92009-7105 US
Tel: 619-993-8829  Fax: 760-683-5152

Contact information for business:
6780 FRIARS RD UNIT 322  SAN DIEGO, CA 92108-1192 US
Tel: 619-993-8829  Fax: --

Registration Information:
NPI: 1104474493
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Y101YP2500XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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