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NPI Code Detail

MEDICARE: MS. COLLEEN ANN MAHEUX M.A., MFT

MEDICARE: MS. COLLEEN ANN MAHEUX M.A., MFT
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
1106H00000XMarriage & Family Therapist1070NV

General Provider Information

NPI Number : 1154507168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. COLLEEN ANN MAHEUX M.A., MFT
Provider Business Mailing Address
First Line : 205 S PRATT AVE
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4730
Country : US
Telephone Number : 775-882-8616
Fax Number : 775-882-8616
Provider Business Practice Location Address
First Line : 205 S PRATT AVE
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4730
Country : US
Telephone Number : 775-882-8616
Fax Number : 775-882-8616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2008
Last Update Date : 01/21/2008

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