Individual
MS. AMANDA MARIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
(760) 749-3347
Mailing address
PO BOX 406, PAUMA VALLEY, CA 92061-0406
(760) 749-1410
(760) 749-3347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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