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Individual

AMANDA MARIE WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E THOUSAND OAKS BLVD STE 225, THOUSAND OAKS, CA 91360-8132
(805) 320-5712
Mailing address
PO BOX 3171, WESTLAKE VLG, CA 91359-0171
(805) 824-3709

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19137
CA

Other

Enumeration date
03/05/2024
Last updated
11/03/2025
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