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NPI Code Detail

MEDICARE: KATHRYN CLAIR MORRISON M.A.

MEDICARE: KATHRYN CLAIR MORRISON M.A.
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 Counselor

General Provider Information

NPI Number : 1245546613
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN CLAIR MORRISON M.A.
Provider Business Mailing Address
First Line : 2414 SAINT PAUL DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3230
Country : US
Telephone Number : 719-237-1562
Fax Number :
Provider Business Practice Location Address
First Line : 2414 SAINT PAUL DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3230
Country : US
Telephone Number : 719-237-1562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 08/24/2010

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