Individual
AMANDA KAY STADELBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3608 STEVE MCQUEEN DR, CHINO HILLS, CA 91709-5455
(909) 740-3138
(909) 306-5427
Mailing address
1907 BOYS REPUBLIC DR, CHINO HILLS, CA 91709-5447
(909) 628-1217
(909) 306-5427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15061
CA
101YP2500X
Professional Counselor
Primary
15061
CA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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