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NPI Code Detail

MEDICARE: MRS. STEPHANIE EDWIN FEES COUNSELOR

MEDICARE:  MRS. STEPHANIE EDWIN FEES  COUNSELOR
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
1101YP2500XProfessional Counselor10953CO

General Provider Information

NPI Number : 1902046618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE EDWIN FEES COUNSELOR
Provider Business Mailing Address
First Line : 624 SIERRA CT
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-1018
Country : US
Telephone Number : 970-245-9789
Fax Number :
Provider Business Practice Location Address
First Line : 2708 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-4031
Country : US
Telephone Number : 970-243-9539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2009
Last Update Date : 02/20/2009

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Directions to “ MRS. STEPHANIE EDWIN FEES COUNSELOR” Practice Location

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