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NPI Code Detail

MEDICARE: BRIANNA ELYSSE BAUSMAN LPCC

MEDICARE: BRIANNA ELYSSE BAUSMAN LPCC
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 CounselorLPCC.0020416CO

General Provider Information

NPI Number : 1205654902
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA ELYSSE BAUSMAN LPCC
Provider Business Mailing Address
First Line : 6261 S CEDAR ST
Second Line :
City : LITTLETON
State : CO
Zip : 80120-2633
Country : US
Telephone Number : 817-676-7259
Fax Number :
Provider Business Practice Location Address
First Line : 4100 W 38TH AVE STE B
Second Line :
City : DENVER
State : CO
Zip : 80212-1978
Country : US
Telephone Number : 720-675-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 10/01/2024

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Directions to “ BRIANNA ELYSSE BAUSMAN LPCC” Practice Location

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