Individual
AMBER ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 BLUEBIRD LN, CARLSBAD, CA 92011-2781
(281) 781-3867
Mailing address
1739 BLUEBIRD LN, CARLSBAD, CA 92011-2781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105276
CA BBS
CA
Enumeration date
10/13/2022
Last updated
10/13/2022
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