Individual
AMANDA NABIL ELDABH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 S BUENA VISTA ST, BURBANK, CA 91505-4554
(424) 284-2440
(415) 296-5299
Mailing address
191 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4556
(424) 284-2440
(415) 296-5299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101210
CA
101YM0800X
Mental Health Counselor
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
09/18/2017
Last updated
01/03/2022
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