Individual
AMBER LEA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
101 S B ST, LOMPOC, CA 93436-6933
(053) 354-1418
Mailing address
101 S B ST, LOMPOC, CA 93436-6933
(053) 354-1418
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
145874
CA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145874
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
09/04/2019
Last updated
08/23/2024
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