Individual
AMANDA NOELLE ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9171
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
105932
CA
106H00000X
Marriage & Family Therapist
85139
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/02/2015
Last updated
05/07/2018
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