Individual
MRS. AMANDA MARYNNE RODOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
504 W VISTA WAY, VISTA, CA 92083-5704
(760) 940-1836
Mailing address
1660 HOTEL CIR N STE AND314, SAN DIEGO, CA 92108-2807
(619) 961-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
CA
101YM0800X
Mental Health Counselor
94027351
CA
103T00000X
Psychologist
Primary
PSB94027351
CA
Other
Enumeration date
06/09/2021
Last updated
08/21/2024
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