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General NPI Number Information
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NPI Number | 1912425737
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Entity Type | Individual
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Provider Name | AMBER RENE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 11200 STILLWATER BLVD N STE 104A
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City | LAKE ELMO
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State | MN
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Zip | 55042-8632
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Country | US
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Telephone | 651-968-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 STILLWATER BLVD N STE 104A
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City | LAKE ELMO
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State | MN
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Zip | 55042-8632
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC01597
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License Number State | MN
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