MEDICARE: SUELLEN MAY 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1336715473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUELLEN MAY LPC

Provider Business Mailing Address
First Line	:	4786 MCMURRY AVE UNIT 2B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4499
Country	:	US
Telephone Number	:	970-541-1291
Fax Number	:

Provider Business Practice Location Address
First Line	:	4786 MCMURRY AVE UNIT 2B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4499
Country	:	US
Telephone Number	:	970-541-1291
Fax Number	:

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

Provider Enumeration Date	:	05/30/2021
Last Update Date	:	12/03/2023

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Directions to “ SUELLEN MAY LPC” Practice Location

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