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SARAH AMBERG LPC, LAC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1043828676
Individual Registrant: SARAH AMBERG LPC, LAC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
356 1/2 MAIN ST # 5 LONGMONT, CO 80501-5527 US
Tel: 720-583-9503 Fax: --
Tel: 720-583-9503 Fax: --
Contact information for business:
822 LINCOLN ST LONGMONT, CO 80501-4432 US
Tel: 858-682-7236 Fax: --
Tel: 858-682-7236 Fax: --
Registration Information:
NPI: 1043828676
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CO | ACD.0001471 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | CO | LPC.0016341 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
