Individual provider · NPI-1

Mary Ambriz

Marriage & Family Therapist · Roseville, CA

NPI number1700599362
StatusActive
Last updated in NPPESJun 17, 2026

Details

NPI
1700599362
Entity type
Individual (NPI-1)
Name
Mary Ambriz
Sex
Female
Sole proprietor
No
Enumeration date
Dec 28, 2022
Certification date
Jun 17, 2026
Last updated
Jun 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist–CAYes
101YM0800X Counselor, Mental Health–CA

Practice location

1520 Eureka Rd Ste 102
Roseville, CA 95661-2849

Phone 916-759-1168

Mailing address

1520 Eureka Rd Ste 102
Roseville, CA 95661-2849

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