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NPI Code Detail

MEDICARE: OLIVIA HANSBERRY

MEDICARE: OLIVIA HANSBERRY
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
1101Y00000XCounselorCO

General Provider Information

NPI Number : 1649135625
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA HANSBERRY
Provider Business Mailing Address
First Line : 1732 PINE ST
Second Line :
City : BOULDER
State : CO
Zip : 80302-4307
Country : US
Telephone Number : 303-665-3036
Fax Number :
Provider Business Practice Location Address
First Line : 2525 13TH ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-4104
Country : US
Telephone Number : 303-650-4460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ OLIVIA HANSBERRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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