Basic Information
| Provider Information | |||||||||
| NPI: | 1184096547 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JARAMILLO | ||||||||
| FirstName: | AMBER | ||||||||
| MiddleName: | |||||||||
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| Credential: | MA, LLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | COMBS | ||||||||
| OtherFirstName: | AMBER | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 401 HOWARD ST | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490012748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2693444458 | ||||||||
| FaxNumber: | 2693444459 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 HOWARD ST | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2693444458 | ||||||||
| FaxNumber: | 2693444459 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2015 | ||||||||
| LastUpdateDate: | 06/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 6301016527 | MI | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No ID Information.