Individual
AMY MARIE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
(619) 428-1091
Mailing address
521 ORANGE AVE SPC 42, CHULA VISTA, CA 91911-4049
(567) 825-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
08/14/2017
Last updated
08/24/2022
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