Individual
AMANDA LYNETT TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4971
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
96708
CA
Other
Enumeration date
08/26/2019
Last updated
05/03/2022
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