Individual
AMANDA HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100458
CA
1041C0700X
Clinical Social Worker
11385
CT
Other
Enumeration date
03/03/2021
Last updated
06/03/2021
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