Individual provider · Type 1 NPI
Amber Nicole Egdorf, MA, LADC, LPCC
Professional Counselor · St. Paul, MN
NPI number
1780120378
Active
Practice location
245 Ruth St N Ste 101
St. Paul, MN 55119-4409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | 4285 (MN) |
Professional Counselor: Definition to come...
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About NPI 1780120378
Amber Nicole Egdorf, MA, LADC, LPCC's National Provider Identifier is 1780120378, issued on Jan 6, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Feb 5, 2024.