Individual
AMANDA VICTORIA VAN DUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Mailing address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
121151
CA
106H00000X
Marriage & Family Therapist
93188
CA
Other
Enumeration date
06/24/2015
Last updated
09/02/2020
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