Individual
AMY LORENZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N 1ST ST # G, CAMPBELL, CA 95008-2033
(408) 430-3689
Mailing address
45 N 1ST ST # G, CAMPBELL, CA 95008-2033
(408) 430-3689
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
128939
CA
106H00000X
Marriage & Family Therapist
IMF110199
CA
Other
Enumeration date
12/18/2020
Last updated
12/10/2021
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