Individual
AMBER RENEE HENRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
231 N THIRD AVE STE 206, SANDPOINT, ID 83864-1418
(208) 290-6604
(208) 216-8055
Mailing address
PO BOX 271, SAGLE, ID 83860-0271
(208) 290-6604
(208) 216-8055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36787
ID
101YM0800X
Mental Health Counselor
39935
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39935
ID
Other
Enumeration date
06/07/2017
Last updated
07/30/2025
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