Individual
AMANDA ANNIE LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E WALNUT ST STE 225, PASADENA, CA 91106-1434
(626) 888-3859
Mailing address
PO BOX 6021, ALHAMBRA, CA 91802-6021
(626) 888-3859
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
100476
CA
Other
Enumeration date
08/18/2016
Last updated
08/05/2020
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