Most Relevant Information
Provider Data
| NPI Number: | 1003257965 |
| Provider Name: | AMANDA BREANA VANN ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2013 |
| Last Updated: | 01/08/2021 |
Provider Practice Location
572 N ARROWHEAD AVE STE 200
SAN BERNARDINO
CA
924011212
Practice Location Phone/Fax
| Phone: | 3032662700 |
| Fax: |
Provider Mailing Location
572 N ARROWHEAD AVE SUITE #200
SAN BERNARDINO
CA
92401
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |