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Individual

MRS. REGINA MARIA AMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
1387 E M 89, OTSEGO, MI 49078-9301
(269) 692-2100
(269) 692-2101
Mailing address
868 15TH ST, OTSEGO, MI 49078-9724
(269) 692-3182

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010492
MI
101YP2500X
Professional Counselor
6401010492
MI
101YS0200X
School Counselor
264767
MI

Other

Enumeration date
03/09/2011
Last updated
03/28/2023
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