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NPI Code Detail

MEDICARE: MICAH BEAR FRIEDLANDER

MEDICARE: MICAH BEAR FRIEDLANDER
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
2172V00000XCommunity Health Worker
3106H00000XMarriage & Family Therapist0003002CO
4106H00000XMarriage & Family Therapist157247CA

General Provider Information

NPI Number : 1013435791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAH BEAR FRIEDLANDER
Provider Business Mailing Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-293-2220
Fax Number :
Provider Business Practice Location Address
First Line : 2130 STOUT ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2827
Country : US
Telephone Number : 303-293-2220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2017
Last Update Date : 01/15/2026

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Directions to “ MICAH BEAR FRIEDLANDER ” Practice Location

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