NPI 1568863470

Jo Nell R Amburgey, MSW, Licsw

Organisation Community/Behavioral Health Agency Colville, WA

Practice location

Address: 298 S Main St Suite L3, Colville, WA 99114-2447
Phone: (509) 675-0642
Fax: (509) 738-2561
Mailing address: PO Box 513, Kettle Falls, WA 99141-0513

Authorised official

Name: Jo Nell R Amburgey
Title: Mental Health Counselor
Phone: (509) 675-0642

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LW00007912 (WA)

Other Community/Behavioral Health providers in Washington →

Registry record

NPI: 1568863470
Entity type: Organization
NPI issued: 10 Sep 2014
Record last updated: 10 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.