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NPI Code Detail

MEDICARE: PATRICIA ANN GARRICK LPC

MEDICARE: PATRICIA ANN GARRICK LPC
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
1101YM0800XMental Health CounselorC8569OR
2101YM0800XMental Health CounselorLPC.0011174CO

General Provider Information

NPI Number : 1124865365
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN GARRICK LPC
Provider Business Mailing Address
First Line : 431 29 1/2 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6478
Country : US
Telephone Number : 970-250-5265
Fax Number :
Provider Business Practice Location Address
First Line : 920 SW RANGE DR
Second Line :
City : WALDPORT
State : OR
Zip : 97394-9634
Country : US
Telephone Number : 541-563-3197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 12/20/2024

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Directions to “ PATRICIA ANN GARRICK LPC” Practice Location

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