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Individual
MS. TAMARA LEE IMEL
Active
Individual
MS. TAMARA LEE IMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001395A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194594
BLUE CROSS ID
IN
01
—
000000884527
ANTHEM
IN
01
—
000000884714
ANTHEM
IN
01
—
296837000
MAGELLAN HEALTH PROVIDER
IN
01
—
60054
AETNA PROVIDER ID
IN
Enumeration date
01/09/2006
Last updated
11/08/2022
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