MEDICARE: GINA LOUISE HEBB

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
1	101Y00000X	Counselor	18760	CO

General Provider Information

NPI Number	:	1043876675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA LOUISE HEBB

Provider Business Mailing Address
First Line	:	7198 S MOUNT HOLY CROSS
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-3207
Country	:	US
Telephone Number	:	303-704-8046
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 S PIERCE ST STE 350
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4554
Country	:	US
Telephone Number	:	303-704-8036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	10/20/2022

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Directions to “ GINA LOUISE HEBB ” Practice Location

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