Individual
AMY PULITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, MFT
Contact information
Practice address
181 LANEDA AVE., MANZANITA, OR 97130
(503) 272-1599
Mailing address
PO BOX 29, MANZANITA, OR 97130-0029
(818) 212-0091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
50956
CA
101YM0800X
Mental Health Counselor
Primary
C2941
OR
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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