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NPI Code Detail

MEDICARE: REBECCA A BRINGEWATT MA, LPC

MEDICARE:   REBECCA A BRINGEWATT  MA, 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 Counselor4686CO

General Provider Information

NPI Number : 1336348325
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A BRINGEWATT MA, LPC
Provider Business Mailing Address
First Line : 2950 TENNYSON ST
Second Line :
City : DENVER
State : CO
Zip : 80212-3029
Country : US
Telephone Number : 303-433-2541
Fax Number :
Provider Business Practice Location Address
First Line : 2950 TENNYSON ST
Second Line :
City : DENVER
State : CO
Zip : 80212-3029
Country : US
Telephone Number : 303-433-2541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/11/2007

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Directions to “ REBECCA A BRINGEWATT MA, LPC” Practice Location

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