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NPI Code Detail

MEDICARE: AMY REHM MC, LAC

MEDICARE: AMY REHM MC, LAC
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 CounselorLAC15167AZ

General Provider Information

NPI Number : 1821527532
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY REHM MC, LAC
Provider Business Mailing Address
First Line : 10201 S 51ST ST STE 130
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10201 S 51ST ST STE 130
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5226
Country : US
Telephone Number : 602-390-4579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 06/06/2017

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Directions to “ AMY REHM MC, LAC” Practice Location

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