Individual
AMALIA S. BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
Mailing address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 582-8611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100660
CA
1041C0700X
Clinical Social Worker
Primary
100660
CA
390200000X
Student in an Organized Health Care Education/Training Program
E3
CA
Other
Enumeration date
08/28/2019
Last updated
10/06/2022
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