Individual
AMBER J MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4998 W BROAD ST, COLUMBUS, OH 43228-1647
(614) 754-8051
(614) 319-6123
Mailing address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
(614) 319-6123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.130161
OH
104100000X
Social Worker
Primary
S.2005695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063053668
—
OH
01
—
S.2005695
COUNSELOR, SOCIAL WORKER, & MFT BOARD
OH
Enumeration date
10/04/2019
Last updated
02/18/2026
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