Individual
AMANDA ALLISON NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 M ST, MODESTO, CA 95354-0755
(209) 402-0506
Mailing address
3001 HAHN DR APT 356, MODESTO, CA 95350-6585
(209) 402-0506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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