Individual
AMANDA STEPHANIE IZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
16867 KINGSBURY ST APT 106, GRANADA HILLS, CA 91344-6443
(818) 648-6472
Mailing address
16867 KINGSBURY ST APT 106, GRANADA HILLS, CA 91344-6443
(818) 648-6472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
137750
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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