Individual
MISS AMY ELIZABETH DIFFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000B S CENTER DR, CLEARLAKE, CA 95422-8131
(707) 533-3550
(707) 994-7092
Mailing address
PO BOX 1024, LUCERNE, CA 95458-1024
(707) 533-3550
(707) 994-7092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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