MEDICARE: PAIGE DARNELL LPC

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
1	101YM0800X	Mental Health Counselor	0019094	CO
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518421585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE DARNELL LPC

Provider Business Mailing Address
First Line	:	852 S VALLEJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-2533
Country	:	US
Telephone Number	:	219-359-6336
Fax Number	:

Provider Business Practice Location Address
First Line	:	852 S VALLEJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-2533
Country	:	US
Telephone Number	:	219-359-6336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	08/14/2023

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Directions to “ PAIGE DARNELL LPC” Practice Location

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