Individual
AMANDA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2365
(760) 255-1496
Mailing address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2365
(760) 255-1496
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
121192
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT149798
CA
Other
Enumeration date
05/04/2021
Last updated
01/18/2026
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