Individual
AMERYN MICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AMFT
Contact information
Practice address
3419 E CHAPMAN AVE STE 346, ORANGE, CA 92869-3812
(714) 477-1630
Mailing address
3419 E CHAPMAN AVE STE 346, ORANGE, CA 92869-3812
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
131184
CA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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