Individual provider · Type 1 NPI

Amber Liddick

Mental Health Counselor · Goshen, IN

NPI number 1356730071 Active

Practice location

330 Lakeview Dr
Goshen, IN 46528-9365

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356730071

Amber Liddick's National Provider Identifier is 1356730071, issued on Jan 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goshen, IN. The record was last updated on Jan 19, 2015.