Individual
AMANDA E GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 110609
Contact information
Practice address
277 SOUTH ST STE T, SAN LUIS OBISPO, CA 93401-5039
(805) 781-4754
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
110609
CA
104100000X
Social Worker
66125
CA
Other
Enumeration date
01/09/2018
Last updated
10/19/2022
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