Individual
AMANDA KEMPHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
2717 S ROBERTSON BLVD, LOS ANGELES, CA 90034-2442
(323) 935-1807
Mailing address
724 S SYCAMORE AVE APT 203, LOS ANGELES, CA 90036-4337
(720) 709-9070
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
107015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107015
AMFT NUMBER
CA
Enumeration date
01/12/2020
Last updated
01/12/2020
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