Alexandria Amborski

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Maumee, OH

NPI 1245849355 · NPPES record last updated Mar 19, 2021

Key facts

NPI
1245849355
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDCA174189 (OH)
Practice address
1757 Indian Wood Cir
Maumee, OH 43537-4009
Phone
(833) 641-0632
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CDCA174189OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA174189 OH Yes

Addresses

Primary practice location

1757 Indian Wood Cir
Maumee, OH 43537-4009

Mailing address

1757 Indian Wood Cir
Maumee, OH 43537-4009
Phone (833) 641-0632

Other providers in Maumee, OH

All providers in Maumee, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.