Individual
AMANDA HARTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 UNIVERSITY AVE, BERKELEY, CA 94702-1710
(510) 426-3450
Mailing address
1307 UNIVERSITY AVE, BERKELEY, CA 94702-1710
(510) 426-3450
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
80314
CA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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