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Individual

ANDREA KAMILLE CONANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
3130 5TH AVE # 3, SAN DIEGO, CA 92103-5839
(858) 707-5301
Mailing address
2307 FENTON PKWY STE 107-257, SAN DIEGO, CA 92108-4746
(858) 707-5301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13059
CA
101YM0800X
Mental Health Counselor
5241
CA
101YP2500X
Professional Counselor
13059
CA

Other

Enumeration date
03/12/2019
Last updated
06/27/2024
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