AMBER PEDERSEN


Address: 1312 E Hale St, Mesa, AZ 85203-3818
Phone: 4805848227

AMBER PEDERSEN (NPI# 1750703682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750703682
Entity Type Individual
Full Name AMBER PEDERSEN
Practice Address 1312 E Hale St
Mesa
AZ 85203-3818
Practice Telephone 4805848227
Enumeration Date 2014-01-12
Last Update Date 2014-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
RN172075 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1312 E HALE ST
City MESA
State AZ
Zip Code 85203-3818

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255588075 Ruth Schmidt Counselor 504 W 2nd Pl, Mesa, AZ 85201-6411 2008-08-22
1023264769 Maria Ramirez Counselor 9023 E Fox St, Mesa, AZ 85207-5031 2008-08-13
1821274986 Karen Marie Buckner Counselor 11536 E Dover St, Mesa, AZ 85207-2356 2008-01-18
1427102243 Tempe Elementary School District Counselor 1866 S Don Carlos Cir, Mesa, AZ 85202-5413 2007-01-22
1215069976 Catherine L Weigler Counselor 1025 N Country Club Dr, Mesa, AZ 85201-3307 2007-03-09
1558406165 Shannon Leann Banuelos Counselor 8045 E Portobello Ave, Mesa, AZ 85212-1690 2007-02-21

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NPI Name Taxonomy Address Enumeration
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1275905754 A & G Child Care Center LLC Counselor 537 E Racine Pl, Casa Grande, AZ 85122-1611 2015-10-23
1235547654 Brian Prince Counselor 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 2014-07-29
1023399227 Sarah Joy Steele Counselor 7275 W Vineyard Rd, Laveen, AZ 85339-9805 2011-08-31
1255639902 Sylvia Nockideneh-tee Counselor East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 2011-03-04
1851600597 Denisse Leon-uribe Counselor 3689 W Pageant Pl, Yuma, AZ 85364-3262 2010-09-29
1457689259 Perla Nora Gonzalez Counselor 5832 W Ivanhoe St, Chandler, AZ 85226-1846 2009-12-07
1649508441 Jennifer Palomares Counselor 8706 W Morten Ave, Glendale, AZ 85305-3945 2009-12-07
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Competitor

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City MESA
Zip Code 85203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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