Individual
AMANDA LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ET/P
Contact information
Practice address
595 E COLORADO BLVD STE 508, PASADENA, CA 91101-2017
(626) 977-4211
Mailing address
595 E COLORADO BLVD STE 508, PASADENA, CA 91101-2017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
246Z00000X
Other Specialist/Technologist
ETP827
CA
Other
Enumeration date
12/21/2022
Last updated
08/19/2024
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