Provider Demographics
NPI:1902053416
Name:SANNER, AMBER JOY (MS, PPSC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:JOY
Last Name:SANNER
Suffix:
Gender:F
Credentials:MS, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-1503
Mailing Address - Country:US
Mailing Address - Phone:530-513-7286
Mailing Address - Fax:
Practice Address - Street 1:1785 GRANADA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-1503
Practice Address - Country:US
Practice Address - Phone:530-513-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92805106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist