Individual
MS. AMANDA KIMBERLEY LOGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
380 S MELROSE DR STE 208, VISTA, CA 92081-6652
(442) 777-3402
Mailing address
19881 W ANNIKA DR, LITCHFIELD PARK, AZ 85340-5436
(760) 855-7004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
114377
CA
Other
Enumeration date
07/13/2019
Last updated
11/20/2023
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