Individual
AMBER SHEALENE LAROE-WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E HICKORY AVE, LOMPOC, CA 93436-7274
(805) 350-3201
Mailing address
PO BOX 5067, SANTA MARIA, CA 93456-5067
(805) 350-3201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
838
CA
106H00000X
Marriage & Family Therapist
Primary
78240
CA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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