Individual
AMY ASTRI DETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3810
(415) 673-5700
Mailing address
134 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3810
(415) 673-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/10/2013
Last updated
01/18/2022
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