Individual
AMBER D NASCIMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
(541) 726-4058
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
(541) 726-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NOT APPLICABLE
—
Enumeration date
01/19/2023
Last updated
03/12/2024
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