Individual provider · Type 1 NPI

Amanda Degroot, RADT

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1144039819 Active

Practice location

44359 Palm St
Indio, CA 92201-3116

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1584031024 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144039819

Amanda Degroot, RADT's National Provider Identifier is 1144039819, issued on Jan 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on Jan 6, 2025.