Richard Albert Ambrosi, MA

Individual provider Active NPI Marriage & Family Therapist · Eureka, CA

NPI 1053781666 · NPPES record last updated Jun 4, 2021

Key facts

NPI
1053781666
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
720 Wood St
Eureka, CA 95501-4413
Phone
(707) 268-2990
NPI assigned
Sep 25, 2015
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2990

Other providers in Eureka, CA

All providers in Eureka, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.