Individual
AMY MAYLANEE PATAMAKOMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MORENA BLVD., SAN DIEGO, CA 92110
(619) 507-9333
Mailing address
1202 MORENA BLVD., SAN DIEGO, CA 92110
(619) 507-9333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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