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Individual

AMANDA VASHAKIDZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5450 SNYDER LN, ROHNERT PARK, CA 94928-2906
(707) 792-4750
Mailing address
2570 ACACIA AVE, SONOMA, CA 95476-9723

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/30/2024
Last updated
06/04/2026
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