Individual provider · Type 1 NPI

Amanda Dee Mousalam, LMFT

Mental Health Counselor · Santa Cruz, CA

NPI number 1992002604 Active

Practice location

530 Soquel Ave
Santa Cruz, CA 95062-2301

Call (831) 426-7322 Map

Mailing address

1630 Merrill St Apt 106
Santa Cruz, CA 95062-4008

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X64001 (CA)
Mental Health Counselor Primary 101YM0800X64001 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1992002604

Amanda Dee Mousalam, LMFT's National Provider Identifier is 1992002604, issued on Feb 15, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 5, 2020.