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NPI Code Detail

MEDICARE: KARA ANNE MARSHALL LPC, LAC

MEDICARE: KARA ANNE MARSHALL 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) CounselorACB-6716CO
2101YP2500XProfessional CounselorLPC-4978CO
3101YA0400XAddiction (Substance Use Disorder) CounselorACD-201CO

General Provider Information

NPI Number : 1124267869
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA ANNE MARSHALL LPC, LAC
Provider Business Mailing Address
First Line : 6915 S NORFOLK ST
Second Line :
City : FOXFIELD
State : CO
Zip : 80016-1431
Country : US
Telephone Number : 720-273-0492
Fax Number : 720-710-2244
Provider Business Practice Location Address
First Line : 9894 ROSEMONT AVE STE 202
Second Line :
City : LONE TREE
State : CO
Zip : 80124-4103
Country : US
Telephone Number : 720-738-6618
Fax Number : 720-710-2244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2009
Last Update Date : 09/10/2019

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