Individual
AMANDA NIELS LEIGHTON WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD TRAINEE
Contact information
Practice address
391 TAYLOR BLVD STE 100, PLEASANT HILL, CA 94523-2289
(925) 608-6550
Mailing address
391 TAYLOR BLVD STE 100, PLEASANT HILL, CA 94523-2289
(925) 608-6550
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2020
Last updated
08/28/2023
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