Individual
AMY VAN MCMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 E ROWLAND ST STE 112, COVINA, CA 91723-3230
(626) 428-7683
Mailing address
1820 PALOPINTO AVE, GLENDORA, CA 91741-3827
(626) 354-7019
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53679
CA
Other
Enumeration date
03/18/2020
Last updated
01/08/2022
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