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NPI Code Detail

MEDICARE: MS. AMBER LONSDALE LMFT

MEDICARE: MS. AMBER LONSDALE LMFT
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
1106H00000XMarriage & Family Therapist000307IA

General Provider Information

NPI Number : 1518299049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMBER LONSDALE LMFT
Provider Business Mailing Address
First Line : 370 W ANCHOR DR
Second Line : SUITE 218
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-214-1798
Fax Number :
Provider Business Practice Location Address
First Line : 370 W ANCHOR DR
Second Line : SUITE 218
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-214-1798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 04/10/2013

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Directions to “ MS. AMBER LONSDALE LMFT” Practice Location

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