Individual
AMANDA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13710 LA MIRADA BLVD., STRAIGHT TALK, LA MIRADA, CA 90638
(562) 943-0195
Mailing address
13710 LA MIRADA BLVD., STRAIGHT TALK, LA MIRADA, CA 90638
(562) 943-0195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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