person
John Ambrose
Addiction (Substance Use Disorder) Counselor in Coon Rapids, Minnesota
NPI 1881364008

John Ambrose is an Addiction (Substance Use Disorder) Counselor based in Coon Rapids, MN and is specialized in Addiction (Substance Use Disorder). John Ambrose practices in Coon Rapids, MN. The NPI Number for John Ambrose is 1881364008 and holds a License No. 304566 (Minnesota).

The current practice location address for John Ambrose is 11660 Round Lake Blvd Nw, Coon Rapids, MN and can be reached out via phone at 612-562-6790 and via fax at 763-767-0912.

Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN, 55433-2638
person
Provider Profile Details
NPI Number
1881364008
Provider Name
John Ambrose
Credential
Provider Entity Type
Individual
Gender
Male
Address
11660 Round Lake Blvd Nw, Coon Rapids, MN, 55433-2638
Phone Number
612-562-6790
Fax Number
763-767-0912
Provider Enumeration Date
09/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
612-562-6790
Fax Number
763-767-0912
person
Provider Business Mailing Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
612-562-6790
Fax Number
763-767-0912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
304566 (Minnesota)
Definition
Definition to come...
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