Individual
ANITA L AMBROSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
545 W UMPQUA ST STE 1, ROSEBURG, OR 97471-2979
(541) 957-5646
(541) 957-0191
Mailing address
545 W UMPQUA ST STE 1, ROSEBURG, OR 97471-2979
(541) 957-5646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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