Individual
AMANDA MARIAM KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507-6035
(951) 682-1488
Mailing address
420 N MCKINLEY ST STE 111-287, CORONA, CA 92879-8099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT138609
CA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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