MEDICARE: CATHERINE EMMA POPPAW LPCC

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
1	101YM0800X	Mental Health Counselor	LPCC.0022535	CO

General Provider Information

NPI Number	:	1144045022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE EMMA POPPAW LPCC

Provider Business Mailing Address
First Line	:	3737 LANDINGS DR APT 15D
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3159
Country	:	US
Telephone Number	:	970-213-3154
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 W HARVARD ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5217
Country	:	US
Telephone Number	:	970-213-3154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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