Individual
AMANDA NICOLE GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
(951) 674-9635
Mailing address
15095 AMARGOSA RD STE 201, VICTORVILLE, CA 92394-1875
(760) 780-4091
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
137781
CA
Other
Enumeration date
04/17/2014
Last updated
01/08/2024
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