Provider Demographics
NPI:1952553810
Name:AMBROSE, YVONNE MARLEEN (MS)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:MARLEEN
Last Name:AMBROSE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2620
Mailing Address - Country:US
Mailing Address - Phone:251-943-6646
Mailing Address - Fax:251-943-4486
Practice Address - Street 1:400 E LAUREL AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2620
Practice Address - Country:US
Practice Address - Phone:251-943-6646
Practice Address - Fax:251-943-4486
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health