Max, Amber

Max, Amber is an individual health care provider with primary practice located at 2030 Rahn Way , Eagan MN 55122-2300. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Max, Amber can be contacted via phone (651) 529-1976.

Contact Information

Primary practice address
2030 Rahn Way Eagan MN 55122-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC01568 Minnesota

Profile Details

NPI number 1881112365
LBN Legal business name Max, Amber
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Sep 5th, 2017 - about 9 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 1881112365 NPPES
Minnesota MEDICAID CC01568

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