Individual
AMANDA MIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
82253
CA
1041C0700X
Clinical Social Worker
82253
CA
1041C0700X
Clinical Social Worker
Primary
LCSW114006
CA
Other
Enumeration date
04/23/2018
Last updated
03/07/2023
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