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NPI Code Detail

MEDICARE: AMERYST SWANSON-VALENTINE LPC

MEDICARE: AMERYST SWANSON-VALENTINE 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 CounselorLPC.0023042CO

General Provider Information

NPI Number : 1245012004
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMERYST SWANSON-VALENTINE LPC
Provider Business Mailing Address
First Line : 13575 E 104TH AVE UNIT 300
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-8401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13575 E 104TH AVE UNIT 300
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-8401
Country : US
Telephone Number : 303-601-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 12/02/2025

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