Individual
AMANDA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 W BENNETT AVE, GLENDORA, CA 91741-2402
(626) 852-4530
Mailing address
819 W BENNETT AVE, GLENDORA, CA 91741-2402
(626) 852-4530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC17856
CA
101YM0800X
Mental Health Counselor
APCC17856
CA
101YS0200X
School Counselor
APCC17856
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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