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NPI Code Detail

MEDICARE: ROBERT JOSLYN MA, LAC, LPCC

MEDICARE: ROBERT JOSLYN MA, LAC, 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
1101YA0400XAddiction (Substance Use Disorder) CounselorACD.0000632CO
2101YP2500XProfessional Counselor14603CO
3101YM0800XMental Health CounselorLPCC.0014685CO

General Provider Information

NPI Number : 1467995787
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JOSLYN MA, LAC, LPCC
Provider Business Mailing Address
First Line : 2270 LA MONTANA WAY STE 201
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6700
Country : US
Telephone Number : 719-528-3500
Fax Number : 719-528-2433
Provider Business Practice Location Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-466-1165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2016
Last Update Date : 04/08/2021

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