Individual
AMANDA WYLLIE BOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1563 MISSION ST, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
Mailing address
553 29TH ST, SAN FRANCISCO, CA 94131-2221
(347) 573-1433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT151051
CA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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