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NPI Code Detail

MEDICARE: MS. CHRISTINE M MOOR PSYCHOTHERAPIST

MEDICARE: MS. CHRISTINE M MOOR PSYCHOTHERAPIST
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
1101YP2500XProfessional Counselor0013475CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1008850OTHERKAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1487871802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINE M MOOR PSYCHOTHERAPIST
Provider Business Mailing Address
First Line : 714 PONTIAC ST
Second Line :
City : DENVER
State : CO
Zip : 80220-5540
Country : US
Telephone Number : 720-254-4077
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 4500
Second Line :
City : DENVER
State : CO
Zip : 80207-2310
Country : US
Telephone Number : 720-254-4077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 02/26/2020

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