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Mrs. Misty Marie Amezcua
Mental Health Counselor in Camarillo, California
NPI 1700462819

Misty Marie Amezcua is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Misty Marie Amezcua practices in Camarillo, CA. The NPI Number for Misty Marie Amezcua is 1700462819 and holds a License No. (California).

The current practice location address for Misty Marie Amezcua is 5284 Adolfo Rd, Camarillo, CA and can be reached out via phone at 805-289-0120 and via fax at 805-289-0130.

Location: 5284 Adolfo Rd, Camarillo, CA, 93012-6787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700462819
Provider Name
Misty Marie Amezcua
Credential
Provider Entity Type
Individual
Gender
Female
Address
5284 Adolfo Rd, Camarillo, CA, 93012-6787
Phone Number
805-289-0120
Fax Number
805-289-0130
Provider Enumeration Date
03/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56CC 01 CA ASPIRA
institution
Provider Business Practice Location Address Details
Address
5284 Adolfo Rd
City
Camarillo
State
California
Zip
93012-6787
Phone Number
805-289-0120
Fax Number
805-289-0130
person
Provider Business Mailing Address Details
Address
5284 Adolfo Rd
City
Camarillo
State
California
Zip
93012-6787
Phone Number
805-289-0120
Fax Number
805-289-0130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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