Individual
ANDRESSA GOMES GIACOMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
3230 WARING CT STE A, OCEANSIDE, CA 92056-4509
(760) 305-7528
(760) 509-4410
Mailing address
6219 STANLEY AVE APT 7, SAN DIEGO, CA 92115-4048
(781) 426-5146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
AMFT117080
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AMFT117080
CA
Other
Enumeration date
06/22/2020
Last updated
01/04/2021
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