Organization
CORAM CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER G EBERT PSYD (LICENSED PSYCHOLOGIST)
(715) 931-0317
Entity
Organization
Contact information
Practice address
431 S MAIN ST STE 6, RICE LAKE, WI 54868-2241
(715) 931-0317
Mailing address
904 N 2ND ST STE C, CAMERON, WI 54822-7736
(715) 931-0317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2862-57
WI
Other
Enumeration date
02/02/2017
Last updated
07/26/2023
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