Individual
AMBER N REDHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06263
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01771230
—
NM
05
—
326358
—
AZ
05
—
79377327
—
CO
Enumeration date
12/20/2005
Last updated
05/19/2021
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