Individual
AMY BIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS, CDCA
Contact information
Practice address
4159 N HOLLAND SYLVANIA RD STE 205, TOLEDO, OH 43623-4801
(419) 517-6564
Mailing address
7417 CLARK RD, OTTAWA LAKE, MI 49267-9702
(419) 902-8678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173632
OH
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OH
251S00000X
Community/Behavioral Health Agency
CDCA.170329
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349658
—
OH
Enumeration date
05/20/2019
Last updated
06/05/2024
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