Provider Demographics
NPI:1699896308
Name:WEBSTER, AMBERLEIGH JANAY (RASI)
Entity type:Individual
Prefix:
First Name:AMBERLEIGH
Middle Name:JANAY
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:RASI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DONNA AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-3227
Mailing Address - Country:US
Mailing Address - Phone:661-323-3426
Mailing Address - Fax:
Practice Address - Street 1:610 4TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2218
Practice Address - Country:US
Practice Address - Phone:661-631-8415
Practice Address - Fax:661-326-1602
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)