MEDICARE: AMBER NICHOLE MCCORT MS

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	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1922951425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER NICHOLE MCCORT MS

Provider Business Mailing Address
First Line	:	508 CHAPEL CT
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-2367
Country	:	US
Telephone Number	:	651-239-9307
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 CHAPEL CT
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-2367
Country	:	US
Telephone Number	:	651-239-9307
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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