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NPI Code Detail

MEDICARE: CATHERINE RACHEL CARRICO MED. LPC

MEDICARE: CATHERINE RACHEL CARRICO MED. 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 Counselor0017423CO

General Provider Information

NPI Number : 1205506086
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE RACHEL CARRICO MED. LPC
Provider Business Mailing Address
First Line : 504 S WILLIAMS ST
Second Line :
City : DENVER
State : CO
Zip : 80209-4535
Country : US
Telephone Number : 502-262-0943
Fax Number :
Provider Business Practice Location Address
First Line : 7000 BROADWAY STE 208
Second Line :
City : DENVER
State : CO
Zip : 80221-2909
Country : US
Telephone Number : 303-327-9738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 09/14/2021

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