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Individual

AMANDA LEAH LEITNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1437 LEIMERT BLVD STE A, OAKLAND, CA 94602-1849
(510) 463-4056
Mailing address
1064 NORWOOD AVE APT C, OAKLAND, CA 94610-1863
(909) 241-7907

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90324
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
90324
CA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
08/17/2017
Last updated
06/16/2018
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