Individual
AMBER JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
111687
CA
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
02/11/2020
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