MEDICARE: BRIDGET WEIGEL 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
1	101YP2500X	Professional Counselor	0020730	CO
2	101YM0800X	Mental Health Counselor	0020730	CO

General Provider Information

NPI Number	:	1255171450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET WEIGEL LPC

Provider Business Mailing Address
First Line	:	1454 JERSEY ST APT 4
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2666
Country	:	US
Telephone Number	:	303-475-3569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4328
Country	:	US
Telephone Number	:	720-593-1933
Fax Number	:

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

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	05/28/2024

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Directions to “ BRIDGET WEIGEL LPC” Practice Location

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