Individual
AMY GISELLE CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W HOSPITALITY LN STE 104, SAN BERNARDINO, CA 92408-3210
(909) 266-2700
Mailing address
325 W HOSPITALITY LN STE 104, SAN BERNARDINO, CA 92408-3210
(909) 266-2700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/26/2020
Last updated
02/16/2021
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