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NPI Code Detail

MEDICARE: CHARMAYNE HAFEN M.A., N.C.C.

MEDICARE:   CHARMAYNE  HAFEN  M.A., N.C.C.
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
1101Y00000XCounselor11853CO

General Provider Information

NPI Number : 1114233434
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMAYNE HAFEN M.A., N.C.C.
Provider Business Mailing Address
First Line : 7100 BROADWAY STE 2Q
Second Line :
City : DENVER
State : CO
Zip : 80221-2918
Country : US
Telephone Number : 720-272-8279
Fax Number :
Provider Business Practice Location Address
First Line : 7100 BROADWAY STE 2Q
Second Line :
City : DENVER
State : CO
Zip : 80221-2918
Country : US
Telephone Number : 720-272-8279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 08/24/2010

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Directions to “ CHARMAYNE HAFEN M.A., N.C.C.” Practice Location

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