Individual
AMY TYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
780 SHADOWRIDGE DR, VISTA, CA 92083-7986
(877) 496-0450
Mailing address
780 SHADOWRIDGE DR, VISTA, CA 92083-7986
(877) 496-0450
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT88893
CA
Other
Enumeration date
10/23/2015
Last updated
10/14/2021
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