Amber Street, LCSW
Social Worker, Clinical in Johnson City, TN. Individual provider (NPI-1).
NPI number1902258239
StatusActive
Last updated in NPPESAug 11, 2016
Details
- NPI
- 1902258239
- Entity type
- Individual (NPI-1)
- Name
- Amber Street
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2016
- Last updated
- Aug 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0000006334 | TN | Yes |
Practice location
403 Princeton Rd Ste 2Johnson City, TN 37601-2040
Phone 423-297-8351
Mailing address
393 Max Jett RdJohnson City, TN 37601-6265
Phone 423-502-2869
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All 117 Clinical Social Worker providers in Johnson City · All 4,629 providers in Johnson City
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