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NPI Code Detail

MEDICARE: MRS. LINDA HENNING GANSLER LCSW, ACSW

MEDICARE:  MRS. LINDA HENNING GANSLER  LCSW, ACSW
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 CounselorLCSW-1177CO

General Provider Information

NPI Number : 1821242983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA HENNING GANSLER LCSW, ACSW
Provider Business Mailing Address
First Line : 8103 SILVER GLEN DR
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-4018
Country : US
Telephone Number : 719-635-9358
Fax Number :
Provider Business Practice Location Address
First Line : 315 N WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1230
Country : US
Telephone Number : 719-231-7845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2008
Last Update Date : 11/14/2008

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Directions to “ MRS. LINDA HENNING GANSLER LCSW, ACSW” Practice Location

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