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NPI Code Detail

MEDICARE: MRS. AMBER COUVDOS MC, LAC

MEDICARE:  MRS. AMBER  COUVDOS  MC, LAC
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
1101YM0800XMental Health CounselorLAC-24096AZ

General Provider Information

NPI Number : 1245177492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER COUVDOS MC, LAC
Provider Business Mailing Address
First Line : 2850 N 24TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1004
Country : US
Telephone Number : 602-526-6779
Fax Number :
Provider Business Practice Location Address
First Line : 2850 N 24TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1004
Country : US
Telephone Number : 602-526-6779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MRS. AMBER COUVDOS MC, LAC” Practice Location

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