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NPI Code Detail

MEDICARE: AMY RENEE SEADER

MEDICARE: AMY RENEE SEADER
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
1101YM0800XMental Health CounselorLAC-18587AZ

General Provider Information

NPI Number : 1184573750
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY RENEE SEADER
Provider Business Mailing Address
First Line : 1580 N KOLB RD STE 110
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4932
Country : US
Telephone Number : 520-214-8650
Fax Number :
Provider Business Practice Location Address
First Line : 1580 N KOLB RD STE 110
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4932
Country : US
Telephone Number : 520-214-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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