Ambria Liles, MS
Counselor, Mental Health in Allentown, PA. Individual provider (NPI-1).
NPI number1124534631
StatusActive
Last updated in NPPESDec 19, 2017
Details
- NPI
- 1124534631
- Entity type
- Individual (NPI-1)
- Name
- Ambria Liles
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2017
- Last updated
- Dec 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | None | – | Yes |
Practice location
450 Chew St Ste 203Allentown, PA 18102-3434
Phone 610-776-5465
Mailing address
450 Chew St Ste 203Allentown, PA 18102-3434
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