Individual
MRS. AMY MARIE TANNER-NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7545 IRVINE CENTER DR STE 248, IRVINE, CA 92618-2932
(424) 361-6196
Mailing address
13100 SAN FELIPE ST, LA MIRADA, CA 90638-3450
(714) 336-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT-115826
CA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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