MEDICARE: DR. AMBER DATO LPC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	C-01593	MI
2	101YM0800X	Mental Health Counselor	6401009357	MI
3	101YM0800X	Mental Health Counselor	MH19206	FL
4	101YM0800X	Mental Health Counselor	LPC-23273	AZ

General Provider Information

NPI Number	:	1851502983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER DATO LPC

Provider Business Mailing Address
First Line	:	4605 E CERRO DE AGUILA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6930
Country	:	US
Telephone Number	:	231-340-0338
Fax Number	:	888-700-7159

Provider Business Practice Location Address
First Line	:	4605 E CERRO DE AGUILA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6930
Country	:	US
Telephone Number	:	231-340-0338
Fax Number	:	888-700-7159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	06/03/2025

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