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Crystal Amber Lynn Amick

Marriage & Family Therapist

Behavioral Health & Social Service Providers

16519 Victor St Ste 421, Victorville, CA 92395-3935

PECOS Enrollment

Based on the most recent information from CMS, provider Crystal Amber Lynn Amick does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891115184
Provider Type
Individual
Full Name
Amick, Crystal Amber Lynn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/24/2014
Last Updated
9/10/2021

Contact Information

Practice Location

16519 Victor St Ste 421, Victorville, CA 92395-3935

(442) 242-4325

Unlisted Fax

Mailing Location

13083 Hilcorte Ln, Victorville, CA 92394-3704

(760) 646-5410

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT107398 California
Code 172V00000X	Description Community Health Worker Other Service Providers	License Unlisted Issuer
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Crystal Amber Lynn Amick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Pierce-Aquino, Lisa Elizabeth

Kemp, Stan

Cardoza, Tonii Marie

Mascarella, Carlton Patrick

Nspiring Change- Marriage And Family Therapy Inc

Gonzalez, Synthia Monique

Burrows, Jason Wayne

Schweitzer, B

Burtron, Sheryle

Jones, Beverly