Individual
AMANDA THERESA PANTALEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2240 OLD RIVER RD, UKIAH, CA 95482-6103
(707) 467-5145
Mailing address
2240 OLD RIVER RD, UKIAH, CA 95482-6103
(707) 467-5145
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
MFC93604
CA
106H00000X
Marriage & Family Therapist
Primary
MFC93604
CA
Other
Enumeration date
05/21/2012
Last updated
12/11/2025
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