Individual
MS. AMANDA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMANDA CARD
Contact information
Practice address
537 CAJON ST, REDLANDS, CA 92373-5903
(909) 534-7494
Mailing address
3469 PIEDMONT DR, HIGHLAND, CA 92346-1850
(909) 534-7494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
28487
CA
Other
Enumeration date
02/07/2007
Last updated
02/01/2013
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