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NPI 1518670215

NPI 1518670215 : AMELDA RECTOR LPCC : SIERRA VISTA, AZ

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General NPI Number Information
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    NPI Number           |    1518670215
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    Entity Type          |    Individual 
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    Provider Name        |    AMELDA RECTOR LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/28/2022
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    Last Update Date     |    03/19/2025
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Provider Practice Location Address
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    Address Line         |    55 S 5TH ST 
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    City                 |    SIERRA VISTA
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    State                |    AZ
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    Zip                  |    85635-1857
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    Country              |    US
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    Telephone            |    520-452-9784
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7750 E BROADWAY BLVD STE A200 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85710-3903
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    Country              |    US
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    Telephone            |    520-327-1529
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    Fax                  |    520-327-1836
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    283450
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC-23489
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    License Number State |    AZ
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