MEDICARE: DEBBIE WERTHER

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1073996872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE WERTHER

Provider Business Mailing Address
First Line	:	1310 VRAIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 VRAIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1127
Country	:	US
Telephone Number	:	720-530-7966
Fax Number	:

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

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	06/30/2015

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Directions to “ DEBBIE WERTHER ” Practice Location

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