Individual
AMANDA GRACE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
89157
CA
106H00000X
Marriage & Family Therapist
Primary
AMFT129267
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/08/2014
Last updated
06/01/2022
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