Individual
AMANDA JOAN CHILD-VIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
441 PARK AVE, SAN JOSE, CA 95110-2615
(408) 287-2640
Mailing address
441 PARK AVE, SAN JOSE, CA 95110-2615
(408) 287-2640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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