Individual
AMY KLEIN DUANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2383 S POLARIS WAY, FLAGSTAFF, AZ 86001-2086
(858) 922-0107
Mailing address
2383 S POLARIS WAY, FLAGSTAFF, AZ 86001-2086
(858) 922-0107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25932
CA
101YM0800X
Mental Health Counselor
273425
CA
101YM0800X
Mental Health Counselor
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Other
Enumeration date
05/10/2021
Last updated
04/20/2023
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