Individual provider · Type 1 NPI

Amber Nicole Gout

Addiction (Substance Use Disorder) Counselor · Pomona, CA

NPI number 1578074316 Active

Practice location

2180 Valley Blvd
Pomona, CA 91768-3325

Call (909) 865-2336 Map

Fax (909) 865-1831

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1578074316

Amber Nicole Gout's National Provider Identifier is 1578074316, issued on Oct 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Oct 19, 2017.