Individual provider · Type 1 NPI
Amanda Bianca Corral
Mental Health Counselor · Glendora, CA
NPI number
1457979387
Active
Practice location
1160 S Grand Ave
Glendora, CA 91740-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 103118 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1457979387
Amanda Bianca Corral's National Provider Identifier is 1457979387, issued on Jul 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendora, CA. The record was last updated on Aug 17, 2021.