Provider Demographics
NPI:1851502983
Name:DATO, AMBER (LPC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:DATO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:LANGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4605 E CERRO DE AGUILA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6930
Mailing Address - Country:US
Mailing Address - Phone:231-340-0338
Mailing Address - Fax:888-700-7159
Practice Address - Street 1:4605 E CERRO DE AGUILA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6930
Practice Address - Country:US
Practice Address - Phone:231-340-0338
Practice Address - Fax:888-700-7159
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-01593101YA0400X
MI6401009357101YM0800X
FLMH19206101YM0800X
AZLPC-23273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)