Most Relevant Information
Provider Data
| NPI Number: | 1003278599 |
| Provider Name: | AMY CLOUDT CADC I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 19-03-31 |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
3600 13TH ST
BAKER CITY
OR
97814
Practice Location Phone/Fax
| Phone: | 5415239559 |
| Fax: | 5415238067 |
Provider Mailing Location
3425 13TH ST
BAKER CITY
OR
978141340
Provider Mailing Phone/Fax
| Phone: | 5415237400 |
| Fax: | 5415234927 |