MEDICARE: KAREN MOREAU & ASSOCIATES

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACC-3237	CO
2	101YP2500X	Professional Counselor	LPC-308	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588946875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN MOREAU & ASSOCIATES

Provider Business Mailing Address
First Line	:	2755 S LOCUST ST STE 132
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7131
Country	:	US
Telephone Number	:	303-329-3105
Fax Number	:	303-600-6645

Provider Business Practice Location Address
First Line	:	2755 S LOCUST ST STE 132
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7131
Country	:	US
Telephone Number	:	303-329-3105
Fax Number	:	303-600-6645

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KAREN MOREAU
Credential	:	LPC, PH.D
Telephone Number	:	303-329-3105

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	12/31/2020

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