Individual
AMBER RAE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHS
Contact information
Practice address
313 CHILLICOTHE AVE, HILLSBORO, OH 45133-7378
(937) 393-9720
Mailing address
116 CHAUTAUQUA AVE, PEEBLES, OH 45660-1117
(937) 205-4282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846684
—
OH
Enumeration date
10/17/2018
Last updated
10/17/2018
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