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NPI Code Detail

MEDICARE: SHANNON FOLZ

MEDICARE:   SHANNON  FOLZ
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 CounselorLPCC.0014430CO

General Provider Information

NPI Number : 1780056457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON FOLZ
Provider Business Mailing Address
First Line : 2500 N CIRCLE DR
Second Line : SUITE 101
City : COLORADO SPRINGS
State : CO
Zip : 80909-1184
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N CIRCLE DR
Second Line : SUITE 101
City : COLORADO SPRINGS
State : CO
Zip : 80909-1184
Country : US
Telephone Number : 719-635-6080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/21/2015

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Directions to “ SHANNON FOLZ ” Practice Location

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