Andersen, Amanda Jean
Andersen, Amanda Jean is an sole proprietor health care provider with primary practice located at 17744 Sky Park Cir , Irvine CA 92614-6421. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Andersen, Amanda Jean can be contacted via phone (949) 344-6566.Contact Information
Primary practice address
17744 Sky Park Cir
Irvine CA 92614-6421
Phone: (949) 344-6566
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 102510 | California |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1306325022 |
---|---|
LBN Legal business name | Andersen, Amanda Jean |
Credentials | LMFT, MA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 13th, 2018 |
Last updated | Oct 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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