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NPI Code Detail

MEDICARE: TAYLOR SUTTON AC-C

MEDICARE: TAYLOR SUTTON AC-C
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) CounselorACD.0002891CO

General Provider Information

NPI Number : 1174223630
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR SUTTON AC-C
Provider Business Mailing Address
First Line : 1455 DIXON AVE
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-8879
Country : US
Telephone Number : 303-443-8500
Fax Number :
Provider Business Practice Location Address
First Line : 1455 DIXON AVE
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-8879
Country : US
Telephone Number : 303-443-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 03/23/2026

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Directions to “ TAYLOR SUTTON AC-C” Practice Location

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