Individual
AMANDA LIVINGSTON-MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
299 W HILLCREST DR STE 110, THOUSAND OAKS, CA 91360-7824
(805) 410-3858
Mailing address
PO BOX 942056, SIMI VALLEY, CA 93094-2056
(805) 410-3858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
03/07/2018
Last updated
09/07/2022
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