Individual
ANGELICA AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5819 NE GLISAN ST APT 216, PORTLAND, OR 97213-3777
(415) 596-9112
Mailing address
5819 NE GLISAN ST APT 216, PORTLAND, OR 97213-3777
(415) 596-9112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L5353
OR
1041C0700X
Clinical Social Worker
Primary
L5353
OR
1041C0700X
Clinical Social Worker
LW60856163
WA
Other
Enumeration date
03/14/2011
Last updated
02/10/2026
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