MEDICARE: LINDA L CAMPAGNA LMFT

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	101YM0800X	Mental Health Counselor	MFT.0001684	CO

General Provider Information

NPI Number	:	1801274360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA L CAMPAGNA LMFT

Provider Business Mailing Address
First Line	:	2000 W 120TH AVE STE 4A
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2445
Country	:	US
Telephone Number	:	720-339-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 W 120TH AVE STE 4A
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2445
Country	:	US
Telephone Number	:	720-339-9830
Fax Number	:

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

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	08/16/2019

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