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NPI Code Detail

MEDICARE: KATHERINE MACDOWELL M.A., LPC, LAC

MEDICARE: KATHERINE MACDOWELL M.A., LPC, LAC
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
1101YP2500XProfessional Counselor0012116CO
2101YA0400XAddiction (Substance Use Disorder) Counselor0000537CO

General Provider Information

NPI Number : 1073806899
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MACDOWELL M.A., LPC, LAC
Provider Business Mailing Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-544-2089
Fax Number :
Provider Business Practice Location Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-544-2089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2011
Last Update Date : 02/05/2015

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