Provider Demographics
NPI:1902610843
Name:WALDON, AMBER VERNEE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:VERNEE
Last Name:WALDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:VERNEE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:911 SW 15TH ST APT 505
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8975
Mailing Address - Country:US
Mailing Address - Phone:754-422-6475
Mailing Address - Fax:
Practice Address - Street 1:3733 UNIVERSITY BLVD W STE 208
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2103
Practice Address - Country:US
Practice Address - Phone:754-422-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical