Individual
AMBER RAE MADUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BS, BHRS, MS
Contact information
Practice address
6040 EARLE BROWN DR STE 100, BROOKLYN CENTER, MN 55430-2561
(651) 313-8080
Mailing address
202 LACEY LN, UNIT B, POTEAU, OK 74953-5551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4232
MN
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
06/28/2011
Last updated
03/21/2024
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