NPIMap

Amanda Myers

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Crestline, CA

NPI 1346970258 · NPPES record last updated Jun 14, 2022

Key facts

NPI
1346970258
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
340 Highway 138
Crestline, CA 92325
Phone
(909) 336-3330
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling & Training, Inc. Student in an Organized Health Care Education/Training Program Current
since Jun 21, 2022		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

340 Highway 138
Crestline, CA 92325

Mailing address

340 Highway 138
Crestline, CA 92325
Phone (909) 336-3330

Other names

  • Amanda Mussig Former name

Other providers in Crestline, CA

All providers in Crestline, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.