Individual provider · Type 1 NPI

Gary Lee Ambrose

Addiction (Substance Use Disorder) Counselor · Sioux Falls, SD

NPI number 1780125310 Active

Practice location

2412 S Cliff Ave
Sioux Falls, SD 57105-4031

Call (605) 322-4079 Map

Fax (605) 322-4080

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7589 (SD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780125310

Gary Lee Ambrose's National Provider Identifier is 1780125310, issued on Mar 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sioux Falls, SD. The record was last updated on Mar 15, 2017.