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NPI Code Detail

MEDICARE: MR. JAMES DAVID NEWCOMB LPC , CAC III

MEDICARE:  MR. JAMES DAVID NEWCOMB  LPC , CAC III
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) Counselor3916CO

General Provider Information

NPI Number : 1134343502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES DAVID NEWCOMB LPC , CAC III
Provider Business Mailing Address
First Line : 4853 IDEPENDENCE STREET
Second Line : SUITE 200
City : WHEATRIDGE
State : CO
Zip : 80033-6715
Country : US
Telephone Number : 303-425-0300
Fax Number : 303-432-5071
Provider Business Practice Location Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-544-2088
Fax Number : 303-232-4392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ MR. JAMES DAVID NEWCOMB LPC , CAC III” Practice Location

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