Individual provider · Type 1 NPI

Ali Ambroso, IMH8420

Professional Counselor · Green Bay, WI

NPI number 1629384524 Active

Practice location

300 Crooks St
Green Bay, WI 54301-4527

Mailing address

PO Box 22308
Green Bay, WI 54305-2308

Other practice locations

  • 1478 Kenwood Dr, Menasha, WI 54952-1161 · (920) 886-9319

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5043-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1629384524

Ali Ambroso, IMH8420's National Provider Identifier is 1629384524, issued on Aug 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Nov 9, 2020.