Vann, Amanda

Vann, Amanda is an sole proprietor health care provider with primary practice located at 3845 Spring Dr , Spring Valley CA 91977-1030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Vann, Amanda can be contacted via phone (619) 797-1090.

Contact Information

Primary practice address
3845 Spring Dr Spring Valley CA 91977-1030
Phone: (619) 797-1090
Fax: (619) 797-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2002017412 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California

Profile Details

NPI number 1104979475
LBN Legal business name Vann, Amanda
Credentials IMF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Feb 6th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104979475 NPPES
Missouri MEDICAID 495954612

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