Individual
AMANDA GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9445 FARNHAM ST, SUITE100, SAN DIEGO, CA 92123
(858) 380-4676
Mailing address
9445 FARNHAM ST, SUITE100, SAN DIEGO, CA 92123-1308
(858) 380-4676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPCC5006
CA
106H00000X
Marriage & Family Therapist
IMF83662
CA
Other
Enumeration date
10/04/2010
Last updated
06/11/2018
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