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NPI Code Detail

MEDICARE: MS. VICKY FRANKFOURTH MOYLE LPC

MEDICARE: MS. VICKY FRANKFOURTH MOYLE 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
1101YP2500XProfessional Counselor4036CO
2101YM0800XMental Health CounselorLH00011001WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111691959OTHERCOCAQH PROVIDER

General Provider Information

NPI Number : 1306061650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICKY FRANKFOURTH MOYLE LPC
Provider Business Mailing Address
First Line : 1680 HALL AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-6328
Country : US
Telephone Number : 970-261-2594
Fax Number :
Provider Business Practice Location Address
First Line : 2708 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-4031
Country : US
Telephone Number : 970-243-9539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 09/11/2025

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