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NPI Code Detail

MEDICARE: SARA ELIZABETH DEE MA, LPC

MEDICARE: SARA ELIZABETH DEE MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2017032743MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000OTHERCAQH

General Provider Information

NPI Number : 1760900674
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELIZABETH DEE MA, LPC
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5000
Fax Number :
Provider Business Practice Location Address
First Line : 230 N BELCREST AVE STE A
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-6287
Country : US
Telephone Number : 417-413-4676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 09/09/2025

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