Maughan, Amber Doris

Maughan, Amber Doris is an individual health care provider with primary practice located at 209 Forty Mile Avenue , Fairbanks AK 99701-3110. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maughan, Amber Doris can be contacted via phone (907) 452-8251.

Contact Information

Primary practice address
209 Forty Mile Avenue Fairbanks AK 99701-3110
Phone: (907) 452-8251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 246135 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508118266
LBN Legal business name Maughan, Amber Doris
Credentials CDC I
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Nov 17th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508118266 NPPES
Alaska MEDICAID CMG 438

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