Individual provider · NPI-1

Sarah Amberg, LPC, LAC

Counselor, Mental Health · Longmont, CO

NPI number1043828676
StatusActive
Last updated in NPPESSep 3, 2020

Details

NPI
1043828676
Entity type
Individual (NPI-1)
Name
Sarah Amberg
Credential
LPC, LAC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 20, 2020
Certification date
Sep 3, 2020
Last updated
Sep 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLPC.0016341COYes
101YA0400X Counselor, Addiction (Substance Use Disorder)ACD.0001471CO

Practice location

356 1/2 Main St # 5
Longmont, CO 80501-5527

Phone 720-583-9503

Mailing address

822 Lincoln St
Longmont, CO 80501-4432

Phone 858-682-7236

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