Individual
AMARA COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 598-6702
Mailing address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
34621
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2018
Last updated
11/01/2023
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