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NPI Code Detail

MEDICARE: ELSA CAMPOS SCHUTTE MSW INTERNC CAC III

MEDICARE: ELSA CAMPOS SCHUTTE MSW INTERNC CAC III
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 Counselor

General Provider Information

NPI Number : 1801931522
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA CAMPOS SCHUTTE MSW INTERNC CAC III
Provider Business Mailing Address
First Line : 9352 W ONTARIO DR
Second Line :
City : LITTLETON
State : CO
Zip : 80128-4034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1405 FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80204-2211
Country : US
Telephone Number : 303-504-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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