Individual
AMBER OSTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5148 LOVERS LN, SUITE 2, PORTAGE, MI 49002-1572
(269) 343-3010
Mailing address
5148 LOVERS LN, SUITE 2, PORTAGE, MI 49002-1572
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016075
MI
Other
Enumeration date
09/10/2014
Last updated
12/04/2015
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