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NPI Code Detail

MEDICARE: EBONY TOWNER LPCC

MEDICARE: EBONY TOWNER 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.0019737CO

General Provider Information

NPI Number : 1477253326
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY TOWNER LPCC
Provider Business Mailing Address
First Line : 600 17TH STREET
Second Line : SUITE 2892 SOUTH
City : DENVER
State : CO
Zip : 80202
Country : US
Telephone Number : 303-578-8582
Fax Number :
Provider Business Practice Location Address
First Line : 600 17TH STREET
Second Line : SUITE 2892 SOUTH
City : DENVER
State : CO
Zip : 80202
Country : US
Telephone Number : 303-578-8582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/08/2023

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Directions to “ EBONY TOWNER LPCC” Practice Location

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