Provider Information for 1649539537
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AMBER LYNN EBERHARDT LMHC, MSW
Sex: Female
NPI: 1649539537
Last Updated: 2021-09-14
Certification Date: 2021-09-14
Certification Date: 2021-09-14
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649539537 | ||||||||||||||||
| Enumeration Date | 2012-05-11 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3754 W INDIAN TRAIL RD SPOKANE, WA 99208-4736 United States Phone: 509-559-3132 | Fax: | ||||||||||||||||
| Primary Practice Address | 3754 W INDIAN TRAIL RD SPOKANE, WA 99208-4736 United States Phone: 509-559-3132 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 7 S HOWARD ST STE 321 | ||||||||||||||||
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