MEDICARE: PAM SEMMLER

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	ACC0005570	CO
2	101YM0800X	Mental Health Counselor	LPC 0002946	CO

General Provider Information

NPI Number	:	1093139123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAM SEMMLER

Provider Business Mailing Address
First Line	:	1221 S CLARKSON ST STE 206
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-1627
Country	:	US
Telephone Number	:	720-280-9085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 S CLARKSON ST STE 206
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-1627
Country	:	US
Telephone Number	:	720-280-9085
Fax Number	:

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

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	02/10/2014

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Directions to “ PAM SEMMLER ” Practice Location

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