Joe Ambrose, SUDRC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Carmichael, CA

NPI 1033028568 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1033028568
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
26652 (CA)
Practice address
5018 Marconi Ave Apt 151
Carmichael, CA 95608-4254
Phone
(619) 755-4552
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26652 CA Yes

Addresses

Primary practice location

5018 Marconi Ave Apt 151
Carmichael, CA 95608-4254

Mailing address

5018 Marconi Ave Apt 151
Carmichael, CA 95608-4254

Other providers in Carmichael, CA

All providers in Carmichael, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.