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NPI Code Detail

MEDICARE: BEITANI GORSKI

MEDICARE:   BEITANI  GORSKI
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
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1023486719
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEITANI GORSKI
Provider Business Mailing Address
First Line : 3711 JOHN F KENNEDY PKWY STE 310
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3711 JOHN F KENNEDY PKWY STE 310
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2658
Country : US
Telephone Number : 970-550-8062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2015
Last Update Date : 01/16/2025

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Directions to “ BEITANI GORSKI ” Practice Location

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