# DR. WIDMAYER AMBROISE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467114413
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 171R00000X | Interpreter | — | MA | — |
| 172A00000X | Driver | — | MA | — |
| 225800000X | Recreation Therapist | — | MA | — |
| 225C00000X | Rehabilitation Counselor | — | MA | — |
| 251K00000X | Public Health or Welfare Agency | — | MA | — |
| 251S00000X | Community/Behavioral Health Agency | — | MA | — |
| 253Z00000X | In Home Supportive Care Agency | — | MA | Yes |
| 372500000X | Chore Provider | — | MA | — |
| 372600000X | Adult Companion | — | MA | — |
| 376J00000X | Homemaker | — | MA | — |
| 385HR2055X | Child Mental Illness Respite Care | — | MA | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | MA | — |

## Other

- **Enumeration date:** 10/07/2021
- **Last updated:** 05/02/2022