Provider Demographics
NPI:1992692263
Name:QUINTERO, AMBER RENEE (RAC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:RENEE
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-4521
Mailing Address - Country:US
Mailing Address - Phone:657-616-4755
Mailing Address - Fax:
Practice Address - Street 1:601 S HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-4521
Practice Address - Country:US
Practice Address - Phone:657-616-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty