Vierra, Amanda Rose

Vierra, Amanda Rose is an individual health care provider with primary practice located at 4637 Columbia River Ct , San Jose CA 95136-2765. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vierra, Amanda Rose can be contacted via phone (408) 365-4559.

Contact Information

Primary practice address
4637 Columbia River Ct San Jose CA 95136-2765
Phone: (408) 365-4559
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Health Educator 174H00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LR01860216 California

Profile Details

NPI number 1558413195
LBN Legal business name Vierra, Amanda Rose
Credentials LAADC, MAC, ICCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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