Individual
AMBER NICOLE EGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
245 RUTH ST N STE 101, SAINT PAUL, MN 55119-4409
(651) 955-4633
Mailing address
245 RUTH ST N STE 101, SAINT PAUL, MN 55119-4409
(651) 955-4633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
4285
MN
Other
Enumeration date
01/06/2017
Last updated
02/05/2024
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