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NPI Code Detail

MEDICARE: KARI KAZUMI YAMADA

MEDICARE: KARI KAZUMI YAMADA
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 : 1306783550
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI KAZUMI YAMADA
Provider Business Mailing Address
First Line : 107 S 9TH ST
Second Line :
City : CANON CITY
State : CO
Zip : 81212-3800
Country : US
Telephone Number : 719-430-5292
Fax Number :
Provider Business Practice Location Address
First Line : 107 S 9TH ST
Second Line :
City : CANON CITY
State : CO
Zip : 81212-3800
Country : US
Telephone Number : 719-430-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ KARI KAZUMI YAMADA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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