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Individual

MRS. JODY JOANNE FRANCES AMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC NCC

Contact information

Practice address
700 NIEHOFF DR, STE B, EUREKA, MO 63025
(636) 938-9192
(636) 587-9536
Mailing address
700 NIEHOFF DR, STE B, EUREKA, MO 63025
(636) 938-9192
(636) 587-9536

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS002441
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113783
BLUE CROSS BLUE SHIELD
01
140673
CMR
01
213958000
MAGELLAN
01
282452
MHN
01
336404
VALUEOPTIONS
01
486600
HEALTHLINK NON PAR
01
6298062
UNITED HEALTH CARE
Enumeration date
11/08/2006
Last updated
05/09/2008
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