Basic Information
| Provider Information | |||||||||
| NPI: | 1659436970 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAND | ||||||||
| FirstName: | AMBER | ||||||||
| MiddleName: | JOY | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1111 UNIVERSITY AVE | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503142329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152892272 | ||||||||
| FaxNumber: | 5152889109 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 SW ANKENY RD | ||||||||
| Address2: | |||||||||
| City: | ANKENY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500239702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152892272 | ||||||||
| FaxNumber: | 5152889109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 101YA0400X | 00032 | IA | X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | 00834 | IA | X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.