AMANDA MARIE HUDGENS
NPI 1346867975
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA
Active since June 30, 2020
About Amanda Marie Hudgens NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MARIE HUDGENS (NPI 1346867975) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (2313820-I) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1346867975
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA MARIE HUDGENS
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address270 W 14th StSan Pedro, CA 90731-4396 · (310) 519-8723
Phone(310) 427-7606
Sole ProprietorNo
Enumeration DateJune 30, 2020
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1346867975 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 · 2313820-I
505 S PACIFIC AVE, San Pedro, CA 90731
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.
Community/Behavioral Health
505 S PACIFIC AVE, SUITE 201
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Chiropractor (Sports Physician)
505 S PACIFIC AVE, STE 104
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE, SUITE 205
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346867975, enumerated as an "individual" on June 30, 2020.
The provider is located at 505 S PACIFIC AVE SAN PEDRO, CA 90731 and the phone number is (310) 427-7606.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
