Corugedo, Ambar Maria

Corugedo, Ambar Maria is an sole proprietor health care provider with primary practice located at 3855-F Alamo Street Suite 2032, Simi Valley CA 93040. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Corugedo, Ambar Maria can be contacted via phone (805) 582-7507.

Contact Information

Primary practice address
3855-F Alamo Street Suite 2032 Simi Valley CA 93040
Fax: (805) 582-7514
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCS12610 California

Profile Details

NPI number 1376757740
LBN Legal business name Corugedo, Ambar Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376757740 NPPES
California Other LCS12610 LCSW

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