Individual
AMANDA CASTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 W 25TH AVE, SAN MATEO, CA 94403-2208
(650) 994-4395
Mailing address
126 W 25TH AVE, SAN MATEO, CA 94403-2208
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
96686
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2012
Last updated
03/06/2017
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