Individual
AMANDA JEAN CHINCHILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6695 E. PACIFIC COAST HWY, SUITE 135, LONG BEACH, CA 90803
(562) 431-5100
(562) 431-3560
Mailing address
6695 E. PACIFIC COAST HWY, SUITE 135, LONG BEACH, CA 90803
(562) 431-5100
(562) 431-3560
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
55218
CA
106H00000X
Marriage & Family Therapist
Primary
MFC52752
CA
Other
Enumeration date
06/27/2012
Last updated
01/23/2013
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