Individual
MRS. AMANDA DE LA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCI
Contact information
Practice address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC9754
CA
101YP2500X
Professional Counselor
LPCCI1975
CA
Other
Enumeration date
12/23/2015
Last updated
05/25/2022
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