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MIRELLA AMAYA

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1558658328

Individual Registrant:
 MIRELLA  AMAYA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
405 W MANCHESTER BLVD SUITE A INGLEWOOD, CA 90301-1196 US
Tel: 310-672-3820  Fax: --

Contact information for business:
405 W MANCHESTER BLVD SUITE A INGLEWOOD, CA 90301-1196 US
Tel: --  Fax: --

Registration Information:
NPI: 1558658328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1

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