Provider Demographics
NPI:1578685962
Name:KUZIO, AMANDA NAVONE (MFT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:NAVONE
Last Name:KUZIO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:NAVONE
Other - Last Name:GUARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:202 GLACIER DR.
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553
Mailing Address - Country:US
Mailing Address - Phone:925-313-4027
Mailing Address - Fax:925-313-4110
Practice Address - Street 1:202 GLACIER DR.
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553
Practice Address - Country:US
Practice Address - Phone:925-313-4027
Practice Address - Fax:925-957-2746
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA48659106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist