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NPI Code Detail

MEDICARE: MISS BRIE VALLETTO MED.

MEDICARE: MISS BRIE VALLETTO MED.
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
1101YP2500XProfessional CounselorBBH-LCPC-LIC-48653MT

General Provider Information

NPI Number : 1164918132
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIE VALLETTO MED.
Provider Business Mailing Address
First Line : 2460 W 26TH AVE STE 30C
Second Line :
City : DENVER
State : CO
Zip : 80211-5340
Country : US
Telephone Number : 720-306-1383
Fax Number :
Provider Business Practice Location Address
First Line : 2460 W 26TH AVE STE 30C
Second Line :
City : DENVER
State : CO
Zip : 80211-5340
Country : US
Telephone Number : 720-306-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 06/29/2021

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Directions to “ MISS BRIE VALLETTO MED.” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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