Individual
MRS. AMY MARIE LIPOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
613 13TH STREET, SUITE B, MODESTO, CA 95354
(209) 765-3200
Mailing address
PO BOX 1308, MODESTO, CA 95353-1308
(209) 765-3200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
83589
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT90867
CA
Other
Enumeration date
05/03/2011
Last updated
02/04/2016
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