Egdorf, Amber Nicole

Egdorf, Amber Nicole is an individual health care provider with primary practice located at 245 Ruth St N Ste 101 , Saint Paul MN 55119-4409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Egdorf, Amber Nicole can be contacted via phone (651) 955-4633.

Contact Information

Primary practice address
245 Ruth St N Ste 101 Saint Paul MN 55119-4409
Phone: (651) 955-4633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4285 Minnesota

Profile Details

NPI number 1780120378
LBN Legal business name Egdorf, Amber Nicole
Credentials MA, LADC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2017
Last updated Feb 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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