| Doctor Name: | AMY LOULAN WASHBURN |
| NPI Number: | 1093846438 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AMY WASHBURN, LMFT |
| License Number: | MFT 36963 |
| Business Practice Address: | 1150 Suncast Ln Suite 2 El Dorado Hills, CA - 957629324 |
| Business Phone Number: | 9164043933 |
| Business Fax Number: | 9169416313 |
| Mailing Address: | 1150 Suncast Ln, Suite 2 EL DORADO HILLS |
| State: | CA |
| Postal Code: | 957629324 |
| Phone Number: | 9164043933 |
| Fax Number: | 9169416313 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 02/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFT 36963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |