Individual
AMANDA VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2351 CARDINAL LN, SAN DIEGO, CA 92123-3743
(619) 362-3100
Mailing address
2351 CARDINAL LN, SAN DIEGO, CA 92123-3743
(619) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2002017412
MO
106H00000X
Marriage & Family Therapist
Primary
93285
CA
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495954612
—
MO
Enumeration date
01/19/2007
Last updated
02/12/2026
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