Individual
AMANDA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7339 EL CAJON BLVD STE K, LA MESA, CA 91942-7435
(619) 668-6200
(619) 668-6202
Mailing address
5104 VIA VALARTA, SAN DIEGO, CA 92124-1561
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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