Individual
AMELIA MARIN MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
280 E THOUSAND OAKS BLVD STE D, THOUSAND OAKS, CA 91360-7762
(818) 584-5098
Mailing address
28920 BURLESON ST, AGOURA HILLS, CA 91301-1715
(818) 584-5098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122505
CA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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