Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Nicole Gaddis

Individual provider Marriage & Family Therapist · NPI 1629498639

Amanda Nicole Gaddis is a Marriage & Family Therapist in Lake Elsinore, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400
Phone: (951) 674-9243
Fax: (951) 674-9635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 — (760) 780-4091

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 137781 (CA)

Record details

NPI number1629498639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2014
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Other providers in Lake Elsinore