Lorena Amaya

Individual provider Active NPI Rehabilitation Counselor · El Centro, CA

NPI 1396003174 · NPPES record last updated Apr 30, 2012

Key facts

NPI
1396003174
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Counselor 225C00000X
Practice address
1295 W State St
El Centro, CA 92243-2845
Phone
(760) 482-4000
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Yes

Addresses

Primary practice location

1295 W State St
El Centro, CA 92243-2845

Mailing address

1295 W State St
El Centro, CA 92243-2845
Phone (760) 482-4000

Other providers in El Centro, CA

All providers in El Centro, CA · Rehabilitation Counselor in California

Sources for this page

Verify at the official NPI Registry.