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NPI Code Detail

MEDICARE: LINDA LEE CAMPAGNA

MEDICARE: LINDA LEE CAMPAGNA
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194374967
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA LEE CAMPAGNA
Provider Business Mailing Address
First Line : 13575 E 104TH AVE UNIT 300
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-8401
Country : US
Telephone Number : 720-339-9830
Fax Number : 303-484-6256
Provider Business Practice Location Address
First Line : 13575 E 104TH AVE UNIT 300
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-8401
Country : US
Telephone Number : 720-339-9830
Fax Number : 303-484-6256
Authorized Official
Title or Position : BILLER
Name : VICKI SAYRE
Credential :
Telephone Number : 720-989-0021
Provider Enumeration Date : 09/05/2019
Last Update Date : 02/20/2025

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Directions to “LINDA LEE CAMPAGNA ” Practice Location

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