Healthcare Provider Details

I. General information

NPI: 1881463834
Provider Name (Legal Business Name): ANN AMADOR LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15951 LOS GATOS BLVD STE 14
LOS GATOS CA
95032-3488
US

IV. Provider business mailing address

3880 S BASCOM AVE STE 202
SAN JOSE CA
95124-2675
US

V. Phone/Fax

Practice location:
  • Phone: 408-560-0675
  • Fax:
Mailing address:
  • Phone: 408-560-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number144061
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17213
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: