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NPI Code Detail

MEDICARE: AMBER MICHELLE GRANGER

MEDICARE: AMBER MICHELLE GRANGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1184358343
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MICHELLE GRANGER
Provider Business Mailing Address
First Line : 3640 N BRIARWOOD LN
Second Line :
City : MUNCIE
State : IN
Zip : 47304-6375
Country : US
Telephone Number : 228-363-5785
Fax Number :
Provider Business Practice Location Address
First Line : 3640 N BRIARWOOD LN
Second Line :
City : MUNCIE
State : IN
Zip : 47304-6375
Country : US
Telephone Number : 463-777-9424
Fax Number : 765-288-6520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/13/2022

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Directions to “ AMBER MICHELLE GRANGER ” Practice Location

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