Individual
AMANDA KARDONSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12821 VICTORY BLVD., NORTH HOLLYWOOD, CA 91606
(818) 432-5025
Mailing address
12821 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
10/04/2021
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