Individual
AMANDA BOJORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
38190 DIVOT DR, BEAUMONT, CA 92223-8092
(840) 274-1296
Mailing address
38190 DIVOT DR, BEAUMONT, CA 92223-8092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
78770
CA
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
78770
CA
Other
Enumeration date
10/16/2018
Last updated
02/04/2026
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