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AMANDA SELF SUDRC 13199
NPI 1023751393
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since April 15, 2022
310 HARRIS AVE STE A, SACRAMENTO, CA 95838(916) 649-6793 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Self Sudrc 13199 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SELF SUDRC 13199 (NPI 1023751393) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (13199) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1023751393
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA SELFCredential: SUDRC 13199
Location Address310 HARRIS AVE STE ASacramento, CA 95838-3249
Mailing Address22 Marilyn CirSacramento, CA 95838-2017
Phone(916) 649-6793
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1023751393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 13199
310 HARRIS AVE STE A, Sacramento, CA 95838
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN TERRERI
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
TRAVIS FRANKLIN
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
CION ROSE PERFECTO
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DAN LEMUEL DIRECTO JACOB
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DOMINIQUE JENKINS LVN
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
MS. MELANIE ELAINE PHILLIPS CADC II
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
LUCY CRUZ RENTERIA CCMA
Case Manager/Care Coordinator
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
ARACELI GUZMAN SUDRC
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Self's NPI number?

The NPI number for Amanda Self is 1023751393. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Amanda Self located?

Amanda Self practices at 310 Harris Ave Ste A, Sacramento, CA 95838. The listed phone number is (916) 649-6793.

What is Amanda Self's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Amanda Self was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.