Individual provider · Type 1 NPI

John Ambrose, LPCC

Professional Counselor · Coon Rapids, MN

NPI number 1881364008 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Call (763) 767-3350 Map

Fax (763) 767-0912

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3440 (MN)
Professional Counselor Primary 101YP2500X3440 (MN)

Professional Counselor: Definition to come...

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About NPI 1881364008

John Ambrose, LPCC's National Provider Identifier is 1881364008, issued on Sep 18, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 16, 2025.