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SOTERO AMAYA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1528194198

Individual Registrant:
 SOTERO  AMAYA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
995 SPRUCE ST  GRIDLEY, CA 95948-2128 US
Tel: 530-846-7305  Fax: 530-846-6216

Contact information for business:
995 SPRUCE ST  GRIDLEY, CA 95948-2128 US
Tel: 530-846-7305  Fax: 530-846-6216

Registration Information:
NPI: 1528194198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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