Individual
AMBER KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LCPC
Contact information
Practice address
701 W OAKLAND AVE, OAKLAND, FL 34787-1830
(330) 974-5627
Mailing address
701 W OAKLAND AVE APT 4111, OAKLAND, FL 34787-1833
(330) 974-5627
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC14434
MD
101Y00000X
Counselor
Primary
MH22544
FL
101YM0800X
Mental Health Counselor
MH22544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119007100
—
FL
Enumeration date
10/26/2020
Last updated
12/06/2024
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