MEDICARE: GARCELLE BREANNA FRANKLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor

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	:	1700558905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARCELLE BREANNA FRANKLIN

Provider Business Mailing Address
First Line	:	10190 BANNOCK ST STE 120
Second Line	:
City	:	NORTHGLENN
State	:	CO
Zip	:	80260-6052
Country	:	US
Telephone Number	:	803-312-5539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 SHERIDAN BLVD APT 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80214-3042
Country	:	US
Telephone Number	:	803-312-5538
Fax Number	:

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

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	10/05/2021

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Directions to “ GARCELLE BREANNA FRANKLIN ” Practice Location

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