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NPI Code Detail

MEDICARE: MRS. MCCRAE MERRITT LPC

MEDICARE: MRS. MCCRAE MERRITT LPC
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
1101YP2500XProfessional Counselor4726CO

General Provider Information

NPI Number : 1144415092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MCCRAE MERRITT LPC
Provider Business Mailing Address
First Line : 1322 N. ACADEMY BLVD.
Second Line : SUITE 200
City : COLORADO SPRINGS
State : CO
Zip : 80909-3320
Country : US
Telephone Number : 719-332-8090
Fax Number : 866-678-4596
Provider Business Practice Location Address
First Line : 1322 N. ACADEMY BLVD.
Second Line : SUITE 200
City : COLORADO SPRINGS
State : CO
Zip : 80909-3320
Country : US
Telephone Number : 719-332-8090
Fax Number : 866-678-4596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 08/19/2022

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Directions to “ MRS. MCCRAE MERRITT LPC” Practice Location

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