Provider Demographics
NPI:1093846438
Name:LOULAN, AMY (AMY WASHBURN, LMFT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LOULAN
Suffix:
Gender:F
Credentials:AMY WASHBURN, LMFT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:WASHBURN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMY WASHBURN, LMFT
Mailing Address - Street 1:4987 GOLDEN FOOTHILL PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9364
Mailing Address - Country:US
Mailing Address - Phone:916-365-2411
Mailing Address - Fax:916-404-0322
Practice Address - Street 1:4987 GOLDEN FOOTHILL PKWY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9364
Practice Address - Country:US
Practice Address - Phone:916-365-2411
Practice Address - Fax:916-404-0322
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 36963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health