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NPI Code Detail

MEDICARE: BAILEY MARIE MESECK MA., NCC, LPCC

MEDICARE: BAILEY MARIE MESECK MA., NCC, LPCC
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 CounselorLPCC.0023000CO
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1457977340
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY MARIE MESECK MA., NCC, LPCC
Provider Business Mailing Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-369-1777
Fax Number :
Provider Business Practice Location Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-369-1777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 01/14/2025

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