Individual
AMANDA LUCERO BERTOLDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4840
Mailing address
14075 HESPERIA RD., HESPERIA, CA 92345
(760) 810-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW68317
CA
1041C0700X
Clinical Social Worker
94532
CA
Other
Enumeration date
06/28/2013
Last updated
02/09/2023
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