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NPI Code Detail

MEDICARE: TURQUOISE MONEE MCKENZIE BA

MEDICARE:   TURQUOISE MONEE MCKENZIE  BA
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
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1396058558
Entity Type Code : Individual
Provider Name (Legal Business Name) : TURQUOISE MONEE MCKENZIE BA
Provider Business Mailing Address
First Line : 1164 S ACOMA ST UNIT 290
Second Line :
City : DENVER
State : CO
Zip : 80210-1602
Country : US
Telephone Number : 303-504-6806
Fax Number :
Provider Business Practice Location Address
First Line : 1075 GALAPAGO ST
Second Line :
City : DENVER
State : CO
Zip : 80204-3942
Country : US
Telephone Number : 267-306-7266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 07/16/2010

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Directions to “ TURQUOISE MONEE MCKENZIE BA” Practice Location

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