Individual
AMANDA FLORA SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 PASADENA AVE STE A, SOUTH PASADENA, CA 91030-3351
(323) 274-3065
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
08/28/2024
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