MS. Amanda Mae Widener

NPI #1659838522 in Olivehurst, California

Provider Information

NPI Number: 1659838522
Entity Type: Individual
Name: MS. Amanda Mae Widener
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Feb 26, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 1816 8TH AVE
City: Olivehurst
State: California
ZIP Code: 95961-4305
Phone: (405) 489-2179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Emergency Medical Technician, Basic	146N00000X
Case Manager/Care Coordinator	171M00000X
Driver	172A00000X
Student in an Organized Health Care Education/Training Program	390200000X
Community Health Worker	172V00000X	Primary

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