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NPI Code Detail

MEDICARE: MR. CRAIG R THORNHILL MA LPC

MEDICARE:  MR. CRAIG R THORNHILL  MA LPC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor949CO
2101YP2500XProfessional CounselorLPC 4480CO

General Provider Information

NPI Number : 1922207810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CRAIG R THORNHILL MA LPC
Provider Business Mailing Address
First Line : PO BOX 770147
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80477-0147
Country : US
Telephone Number : 970-879-7637
Fax Number : 970-987-1681
Provider Business Practice Location Address
First Line : 810 LINCOLN AVE # 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-4972
Country : US
Telephone Number : 970-871-6811
Fax Number : 970-871-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 01/22/2020

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