| Doctor Name: | MRS. REGINA MARIA AMBS |
| NPI Number: | 1821396243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 264767 |
| Business Practice Address: | 1387 E M 89 Otsego, MI - 490789301 |
| Business Phone Number: | 2696922100 |
| Business Fax Number: | 2696922101 |
| Mailing Address: | 868 15th St, OTSEGO |
| State: | MI |
| Postal Code: | 490789724 |
| Phone Number: | 2696923182 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2011 |
| NPI Last Update Date: | 03/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 264767 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |