Individual
MISS AMANDA ANN BIRESCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST, SUITE 117, BARSTOW, CA 92311-2361
(760) 255-2542
Mailing address
9827 VICTOR AVE, HESPERIA, CA 92345-2980
(760) 912-0653
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
101324
CA
Other
Enumeration date
02/23/2011
Last updated
11/15/2024
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