Individual
RENEE BERNADETTE AMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMS, LM
Contact information
Practice address
3156 MOUNT ZION RD APT 305, STOCKBRIDGE, GA 30281-4179
(443) 722-9488
Mailing address
3156 MOUNT ZION RD APT 305, STOCKBRIDGE, GA 30281-4179
(443) 722-9488
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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