Provider Demographics
NPI:1669853578
Name:PREECE, TAMERA (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:
Last Name:PREECE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 N DODGE BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2675
Mailing Address - Country:US
Mailing Address - Phone:520-618-8600
Mailing Address - Fax:
Practice Address - Street 1:2502 N DODGE BLVD STE 190
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2675
Practice Address - Country:US
Practice Address - Phone:520-618-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW135871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical