Individual provider · Type 1 NPI

Amanda Marie Hanley

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1831408343 Active

Practice location

600 3rd St Ste C
Lake Elsinore, CA 92530-2748

Call (951) 674-5354 Map

Fax (951) 674-5227

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549

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 1831408343

Amanda Marie Hanley's National Provider Identifier is 1831408343, issued on Sep 30, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Sep 30, 2010.