Individual
AMY ELIZABETH GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 S QUINTANA DR, ANAHEIM, CA 92807-4029
(714) 988-9822
Mailing address
233 S QUINTANA DR, ANAHEIM, CA 92807-4029
(714) 988-9822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2020
Last updated
10/07/2020
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