MEDICARE: HEATHER MARIE BAIR 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
1	101YM0800X	Mental Health Counselor		CO

General Provider Information

NPI Number	:	1316206154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MARIE BAIR M.A.

Provider Business Mailing Address
First Line	:	308 E SIMPSON ST
Second Line	:	SUITE 100
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-2326
Country	:	US
Telephone Number	:	512-740-4621
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 WALNUT ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2485
Country	:	US
Telephone Number	:	512-740-4621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2012
Last Update Date	:	06/22/2026

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