Individual
AMANDA MICHELLE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
986 ELM AVE, BEAUMONT, CA 92223-1634
(909) 688-6352
Mailing address
986 ELM AVE, BEAUMONT, CA 92223-1634
(909) 688-6352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC12498
CA
Other
Enumeration date
06/22/2018
Last updated
11/21/2022
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