| Jo Nell R Amburgey, Msw, Licsw | |
|
298 S Main St Suite L3 Colville WA 99114-2447 | |
| (509) 675-0642 | |
| (509) 738-2561 |
| Full Name | Jo Nell R Amburgey, Msw, Licsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 298 S Main St, Colville, Washington |
| Authorized Official Name and Position | Jo Nell R Amburgey (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5096750642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Nell R Amburgey, Msw, Licsw Po Box 513 Kettle Falls WA 99141-0513 Ph: (509) 675-0642 | Jo Nell R Amburgey, Msw, Licsw 298 S Main St Suite L3 Colville WA 99114-2447 Ph: (509) 675-0642 |
| NPI Number | 1568863470 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568863470 | NPI | - | NPPES |
| AMBURJR513RU | Other | WA | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LW00007912 (Washington) | Primary |
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