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NPI Code Detail

MEDICARE: AHMAD ALI SEDAGHAT M.A. L.P.C.

MEDICARE: AHMAD ALI SEDAGHAT M.A. L.P.C.
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 CounselorLPC.0004827CO
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1811174204
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD ALI SEDAGHAT M.A. L.P.C.
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number :
Provider Business Practice Location Address
First Line : 700 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1842
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 05/22/2026

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