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NPI Code Detail

MEDICARE: MRS. PATRICIA STOUT EBEL LPC

MEDICARE:  MRS. PATRICIA STOUT EBEL  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
1101YM0800XMental Health CounselorLPC.0015850

General Provider Information

NPI Number : 1073024915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA STOUT EBEL LPC
Provider Business Mailing Address
First Line : 3870 N ADAMS ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3734
Country : US
Telephone Number : 602-616-7530
Fax Number :
Provider Business Practice Location Address
First Line : 3870 N ADAMS ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3734
Country : US
Telephone Number : 602-616-7530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2017
Last Update Date : 04/01/2021

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Directions to “ MRS. PATRICIA STOUT EBEL LPC” Practice Location

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