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NPI Code Detail

MEDICARE: MS. ELIZABETH M VILLAMARIN LMFT, LPC, LAC

MEDICARE: MS. ELIZABETH M VILLAMARIN LMFT, 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
1101YA0400XAddiction (Substance Use Disorder) CounselorACD0000819CO
2101YP2500XProfessional CounselorLPC.0015495CO
3106H00000XMarriage & Family TherapistMFT.0001925CO

General Provider Information

NPI Number : 1114058492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH M VILLAMARIN LMFT, LPC, LAC
Provider Business Mailing Address
First Line : 212 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-447-0370
Fax Number : 719-447-0371
Provider Business Practice Location Address
First Line : 212 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-896-1466
Fax Number : 719-447-0371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 02/25/2021

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