Individual
AMANDA RENEE VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1107 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-4903
(424) 241-2669
Mailing address
PO BOX 261091, ENCINO, CA 91426-1091
(323) 591-4030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
106S00000X
Behavior Technician
RBT-18-54926
CA
Other
Enumeration date
05/19/2018
Last updated
09/30/2021
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