Individual
MISS AMANDA H REBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 PIERCE ST, RICHMOND, CA 94804-5910
(843) 415-9193
Mailing address
3219 PIERCE ST, RICHMOND, CA 94804-5910
(843) 415-9193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
95115
CA
Other
Enumeration date
04/09/2013
Last updated
09/01/2016
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