Amanda Phitsamay
Amanda Phitsamay is a Professional Counselor in Modesto, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
2000 W Briggsmore Ave Ste IModesto, CA 95350-3839
Phone: (209) 526-1476
Fax: (209) 526-0908
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence ASW110192 (CA) |
|---|
Record details
| NPI number | 1285373829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | September 15, 2022 |
| Certification date | September 15, 2022 |
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