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NPI 1366305112

NPI 1366305112 : SAGE COUNSELING, INC. : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1366305112
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAGE COUNSELING, INC. 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    5656 E GRANT RD STE 100 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85712-2200
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    Country              |    US
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    Telephone            |    480-649-3352
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    Fax                  |    480-649-3358
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Provider Business Mailing Address
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    Address Line         |    1830 S ALMA SCHOOL RD STE 104 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85210-3086
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    Country              |    US
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    Telephone            |    480-649-3352
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    Fax                  |    480-649-3358
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Authorized Official
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    Title or Position    |    CHIEF CLINICAL OFFICER
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    Name                 |     BRANDY  JUDSON 
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    Credential           |    
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    Telephone            |    503-516-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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