| NPI | 1295402642 |
|---|---|
| Former Name | AMBER L VANDENACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-21-798) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-08-10 |