Individual
AMANDA ELISE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120-5193
(888) 588-8995
(510) 756-0812
Mailing address
5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120-5193
(888) 588-8995
(510) 756-0812
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
132697
CA
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
04/21/2025
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