Stewart, Amber

Stewart, Amber is an individual health care provider with primary practice located at 711 S Muskogee Ave , Tahlequah OK 74464-4717. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stewart, Amber can be contacted via phone (918) 207-0078.

Contact Information

Primary practice address
711 S Muskogee Ave Tahlequah OK 74464-4717
Fax: (918) 207-0558
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4081 Oklahoma

Profile Details

NPI number 1174791693
LBN Legal business name Stewart, Amber
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Apr 18th, 2013 - about 11 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 1174791693 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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