Individual
AMBER E FALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-8203
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-8203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14294
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15313-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001162
—
WI
05
—
42024400
—
WI
Enumeration date
07/28/2006
Last updated
01/14/2020
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