Provider Demographics
NPI:1043997455
Name:CISLER, AMANDA (PHD, LPCC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CISLER
Suffix:
Gender:F
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 FOOTHILL LN
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-1714
Mailing Address - Country:US
Mailing Address - Phone:661-221-3867
Mailing Address - Fax:
Practice Address - Street 1:820 FOOTHILL LN
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-1714
Practice Address - Country:US
Practice Address - Phone:661-221-3867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health