Individual provider · NPI-1

Roberta L Amidei

Counselor, Professional · Cypress, TX

NPI number1861101560
StatusActive
Last updated in NPPESJul 25, 2023

Details

NPI
1861101560
Entity type
Individual (NPI-1)
Name
Roberta L Amidei
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2022
Certification date
Jul 25, 2023
Last updated
Jul 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional85725TXYes

Practice location

15103 Mason Rd Ste E2
Cypress, TX 77433-6458

Phone 855-284-7483

Mailing address

Po Box 748465
Atlanta, GA 30374-8465

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