MEDICARE: MARGARET SCHMALLEN 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
1	101YP2500X	Professional Counselor	3547	CO

General Provider Information

NPI Number	:	1700964400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET SCHMALLEN LPC

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-1445
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 ELWELL ST BLDG 6236
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4356
Country	:	US
Telephone Number	:	719-526-1445
Fax Number	:	719-526-1445

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/01/2016

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