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NPI Code Detail

MEDICARE: PATRICIA MARIE GLOWACKI LPC

MEDICARE: PATRICIA MARIE GLOWACKI 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
1101YP2500XProfessional Counselor4106CO

General Provider Information

NPI Number : 1558321760
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIE GLOWACKI LPC
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6509
Fax Number : 303-782-0916
Provider Business Practice Location Address
First Line : 1440 GROVE ST UNIT A
Second Line :
City : DENVER
State : CO
Zip : 80204-2201
Country : US
Telephone Number : 303-504-1500
Fax Number : 303-825-1711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 02/15/2016

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