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NPI Code Detail

MEDICARE: CATHERINE ELIZABETH DURST LPC

MEDICARE: CATHERINE ELIZABETH DURST 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 Counselor4194CO

General Provider Information

NPI Number : 1194016188
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ELIZABETH DURST LPC
Provider Business Mailing Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-466-1165
Fax Number : 719-362-4447
Provider Business Practice Location Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-466-1165
Fax Number : 719-362-4447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 09/19/2024

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Directions to “ CATHERINE ELIZABETH DURST LPC” Practice Location

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