Page, Ambria Jacquelyn

Page, Ambria Jacquelyn is an sole proprietor health care provider with primary practice located at 201 Simone Way , Saint Augustine FL 32086-7750. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Page, Ambria Jacquelyn can be contacted via phone (904) 829-1770.

Contact Information

Primary practice address
201 Simone Way Saint Augustine FL 32086-7750
Phone: (904) 829-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 12139 Florida

Profile Details

NPI number 1821361619
LBN Legal business name Page, Ambria Jacquelyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Mar 7th, 2017 - about 7 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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