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Organization
NSPIRING CHANGE- MARRIAGE AND FAMILY THERAPY INC
Active
Organization
NSPIRING CHANGE- MARRIAGE AND FAMILY THERAPY INC
Active
Other names
Nspiring Change
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL AMBER LYNN AMICK MA. LMFT (OWNER/CEO)
(442) 242-4325
Entity
Organization
Contact information
Practice address
16519 VICTOR ST STE 421, VICTORVILLE, CA 92395-3935
(442) 242-4325
Mailing address
13083 HILCORTE LN, VICTORVILLE, CA 92394-3704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
09/10/2021
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