MS. AMANDA ROSE VIERRA LAADC MAC ICCDP NPI 1558413195

NPI Information

NPI: 1558413195
Provider Name: MS. AMANDA ROSE VIERRA, LAADC, MAC, ICCDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4637 COLUMBIA RIVER CT
SAN JOSE, CA
ZIP 95136
Phone: (408) 365-4559
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MS. Amanda Rose Vierra, LAADC, MAC, ICCDP is an addiction (substance use disorder) counselor in San Jose, CA. MS. Amanda Rose Vierra, LAADC, MAC, ICCDP NPI is 1558413195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4637 COLUMBIA RIVER CT
SAN JOSE, CA
ZIP 95136-765
Phone: (408) 365-4559

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	174H00000X	Health Educator				No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LR01860216	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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