Medina, Amanda
Medina, Amanda is an sole proprietor health care provider with primary practice located at 79427 Calle Palmeto , La Quinta CA 92253-8554. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Medina, Amanda can be contacted via phone (760) 972-6966.Contact Information
Primary practice address
79427 Calle Palmeto
La Quinta CA 92253-8554
Phone: (760) 972-6966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27376 | California |
Profile Details
| NPI number | 1487087037 |
|---|---|
| LBN Legal business name | Medina, Amanda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2013 |
| Last updated | Jul 20th, 2022 - about 2 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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