Individual
AMBER ROSE PROCHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
200 E DEL MAR BLVD STE 119, PASADENA, CA 91105-2551
(323) 929-2201
Mailing address
707 1/2 PARK AVE, SOUTH PASADENA, CA 91030-5949
(323) 823-3939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
100421
CA
Other
Enumeration date
02/01/2016
Last updated
11/28/2017
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