MEDICARE: AMBER JOY SANNER M.S., P.P.S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	92805	CA

General Provider Information

NPI Number	:	1902053416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER JOY SANNER M.S., P.P.S.C.

Provider Business Mailing Address
First Line	:	1785 GRANADA DR
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94519-1503
Country	:	US
Telephone Number	:	530-513-7286
Fax Number	:

Provider Business Practice Location Address
First Line	:	1785 GRANADA DR
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94519-1503
Country	:	US
Telephone Number	:	530-513-7286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	05/20/2025

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