Individual
AMANDA IMPINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-1570
(805) 781-3535
Mailing address
114 LEEWARD AVE., SHELL BEACH, CA 93449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
11/09/2011
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