| Doctor Name: | AMBERLY N VANARSDALL |
| NPI Number: | 1295026029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PC |
| License Number: | C0900435 |
| Business Practice Address: | 600 E Dayton Yellow Springs Rd Fairborn, OH - 453243995 |
| Business Phone Number: | 9373768700 |
| Business Fax Number: | 9373768725 |
| Mailing Address: | 452 W Market St, XENIA |
| State: | OH |
| Postal Code: | 453852815 |
| Phone Number: | 9373768700 |
| Fax Number: | 9373768725 |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C0900435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |