Individual
AMY SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
3344 4TH AVE, SUITE 200, SAN DIEGO, CA 92103-5704
(619) 549-9758
Mailing address
8697C LA MESA BOULEVARD, #125, LA MESA, CA 91941-5126
(619) 549-9759
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
45063
CA
106H00000X
Marriage & Family Therapist
IMF44907
CA
Other
Enumeration date
02/01/2007
Last updated
04/01/2015
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