Individual
AMBER JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3460 WASHINGTON DR, 110, EAGAN, MN 55122-1338
(651) 688-0488
Mailing address
1294 EARL ST, SAINT PAUL, MN 55106-2027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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