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NPI Code Detail

MEDICARE: ANN LADD, INC

MEDICARE: ANN LADD, INC
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 Counselor3270CO

General Provider Information

NPI Number : 1588707350
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANN LADD, INC
Provider Business Mailing Address
First Line : 257 S MANGRUM PL
Second Line : PO BOX 7164
City : PUEBLO WEST
State : CO
Zip : 81007-3636
Country : US
Telephone Number : 719-251-4006
Fax Number :
Provider Business Practice Location Address
First Line : 279 S JOE MARTINEZ BLVD
Second Line :
City : PUEBLO WEST
State : CO
Zip : 81007-5439
Country : US
Telephone Number : 719-251-4006
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANN LADD
Credential : PHD
Telephone Number : 719-251-4006
Provider Enumeration Date : 02/14/2007
Last Update Date : 08/22/2020

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Directions to “ANN LADD, INC ” Practice Location

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