Individual
AMY CHRISTINE WASZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12727 NEDDICK AVE, POWAY, CA 92064-5935
(760) 707-8427
(760) 740-3676
Mailing address
12727 NEDDICK AVE, POWAY, CA 92064-5935
(760) 707-8427
(760) 740-3676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT109144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109144
LMFT
CA
05
—
109144
—
CA
Enumeration date
11/26/2018
Last updated
11/26/2018
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