Individual
AMANDA MATHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 REAM AVE, MOUNT SHASTA, CA 96067-9768
(530) 841-4805
Mailing address
1107 REAM AVE, MOUNT SHASTA, CA 96067-9768
(530) 918-7200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ASW123826
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
04/07/2026
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