Provider Demographics
NPI:1588315139
Name:MCGINLEY, AMBER MARIE (R1431540521)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:R1431540521
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 KILSON DR APT C
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-2955
Mailing Address - Country:US
Mailing Address - Phone:949-734-9616
Mailing Address - Fax:
Practice Address - Street 1:2201 KILSON DR APT C
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-2955
Practice Address - Country:US
Practice Address - Phone:949-734-9616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)