Individual
AMY VAN DAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30851 AGOURA RD STE 202, AGOURA HILLS, CA 91301-4344
(323) 547-6356
Mailing address
30851 AGOURA RD STE 202, AGOURA HILLS, CA 91301-4344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AMFT137904
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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