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General NPI Number Information
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NPI Number | 1043968597
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Entity Type | Organization
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Legal Business Name | AMBER CALDERA THERAPY, LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 101 E 8TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98660-3294
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Country | US
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Telephone | 503-217-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E 8TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98660-3294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | AMBER CALDERA
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Credential | LCSW
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Telephone | 503-217-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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