Individual provider · Type 1 NPI

Amanda Impink

Mental Health Counselor · San Luis Obispo, CA

NPI number 1154631919 Active

Practice location

3765 S Higuera St
San Luis Obispo, CA 93401-1570

Mailing address

114 Leeward Ave.
Shell Beach, CA 93449

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154631919

Amanda Impink's National Provider Identifier is 1154631919, issued on Oct 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Nov 9, 2011.