Individual
AMY J EISENHOWER-OMHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2445 MORENA BLVD STE 211, SAN DIEGO, CA 92110-4157
(619) 507-8300
Mailing address
2445 MORENA BLVD STE 211, SAN DIEGO, CA 92110-4157
(619) 507-8300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
158608
CA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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