Individual
KASEY ELAINE AMICK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPLOMA
Contact information
Practice address
133 N F ST, LOMPOC, CA 93436-6033
(805) 735-7525
Mailing address
133 N F ST, LOMPOC, CA 93436-6033
(805) 735-7525
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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