JOHN AMBROSE LPCC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1881364008- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPCC
- Status
- Active
Contact & Location
- Address
- 11660 ROUND LAKE BLVD NW, COON RAPIDS, MN, 554332638
- Phone
- (763) 767-3350
- Fax
- (763) 767-0912
Specialties & Taxonomies
Counselor, Mental Health
License: MN #3440
Counselor, Professional
Primary License: MN #3440